⚠️

Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

Brian GrusMD

Internal Medicine · O Fallon, MO 63368

NPI: 1053421065

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15

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

13,997

Total Claims

$1.1M

Drug Cost

1,079

Beneficiaries

$1,059

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+30%

Opioid rate vs peers

2.9% vs 2.2% avg

-25%

Cost per patient vs peers

$1,059 vs $1,411 avg

+8%

Brand preference vs peers

11.5% vs 10.6% avg

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

2.9%

Opioid Rate

406

Opioid Claims

$5,628

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,597 claims · $924K

Generic: 12,299 claims · $213K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban104$141K
Rivaroxaban57$72K
Dulaglutide41$70K
Empagliflozin53$67K
Rsvpref3 Antigen/As01e/Pf178$56K
Tirzepatide42$52K
Insulin Glargine,hum.Rec.Anlog39$36K
Umeclidinium Brm/Vilanterol Tr40$29K
Insulin Glargine,hum.Rec.Anlog43$26K
Dapagliflozin Propanediol20$26K
Fluticasone/Umeclidin/Vilanter34$25K
Fluticasone/Vilanterol45$25K
Budesonide/Formoterol Fumarate34$21K
Sitagliptin Phosphate13$19K
Tiotropium Bromide15$16K

Prescribing Profile

161

Unique Drugs

$326K

IRA Negotiated Drugs

$146K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

46%

Female

1.28

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data