⚠️

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 →

Michael CullerPA

Physician Assistant · Mount Airy, NC 27030

NPI: 1053424598

Share:

26

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

23,570

Total Claims

$1.7M

Drug Cost

566

Beneficiaries

$2,986

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

-74%

Opioid rate vs peers

2.4% vs 9.2% avg

+315%

Cost per patient vs peers

$2,986 vs $719 avg

+114%

Brand preference vs peers

14.3% vs 6.7% 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

2.4%

Opioid Rate

564

Opioid Claims

$36K

Opioid Cost

5.3%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 3,325 claims · $1.2M

Generic: 20,004 claims · $485K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban488$244K
Paliperidone Palmitate30$107K
Paliperidone Palmitate12$102K
Mirabegron135$58K
Lurasidone Hcl26$48K
Rivaroxaban70$38K
Insulin Detemir80$36K
Sitagliptin Phosphate59$32K
Insulin Glargine,hum.Rec.Anlog98$26K
Insulin Aspart68$26K
Insulin Detemir44$23K
Lurasidone Hcl48$22K
Fluticasone/Umeclidin/Vilanter30$20K
Linagliptin34$17K
Divalproex Sodium393$16K

Prescribing Profile

220

Unique Drugs

$343K

IRA Negotiated Drugs

$13K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

79

Avg Age

68%

Female

2.15

Avg Risk Score

Explore More

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