⚠️

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 →

Erika NearpassD.O.

Internal Medicine · Watervliet, MI 49098

NPI: 1053725267

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

14,049

Total Claims

$2.0M

Drug Cost

555

Beneficiaries

$3,617

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+104%

Opioid rate vs peers

4.6% vs 2.2% avg

+156%

Cost per patient vs peers

$3,617 vs $1,411 avg

+66%

Brand preference vs peers

17.6% 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

4.6%

Opioid Rate

641

Opioid Claims

$14K

Opioid Cost

5.5%

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 2,447 claims · $1.8M

Generic: 11,447 claims · $243K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin190$287K
Semaglutide185$238K
Dulaglutide148$146K
Fluticasone/Umeclidin/Vilanter204$143K
Dapagliflozin Propanediol97$143K
Tirzepatide119$128K
Apixaban93$74K
Canagliflozin46$46K
Liraglutide25$42K
Fluticasone/Vilanterol49$32K
Liraglutide26$27K
Insulin Glargine,hum.Rec.Anlog56$25K
Insulin Aspart31$19K
Lipase/Protease/Amylase21$18K
Tiotropium Bromide23$17K

Prescribing Profile

168

Unique Drugs

$537K

IRA Negotiated Drugs

$581K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

70

Avg Age

63%

Female

1.52

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