⚠️

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 →

Gary LangnasD.O.

Internal Medicine · Madison Heights, MI 48071

NPI: 1063496818

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21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

12,467

Total Claims

$1.6M

Drug Cost

1,266

Beneficiaries

$1,245

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+19%

Opioid rate vs peers

2.7% vs 2.2% avg

-12%

Cost per patient vs peers

$1,245 vs $1,411 avg

+33%

Brand preference vs peers

14.1% 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

2.7%

Opioid Rate

332

Opioid Claims

$3,877

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,736 claims · $1.3M

Generic: 10,554 claims · $217K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban273$193K
Semaglutide81$113K
Empagliflozin83$87K
Sitagliptin Phosphate78$76K
Rivaroxaban49$58K
Insulin Glargine,hum.Rec.Anlog90$57K
Insulin Aspart42$40K
Linagliptin71$37K
Dulaglutide26$36K
Insulin Lispro24$31K
Fluticasone/Umeclidin/Vilanter30$27K
Mirabegron50$25K
Sacubitril/Valsartan25$21K
Linaclotide30$17K
Insulin Detemir16$16K

Prescribing Profile

159

Unique Drugs

$485K

IRA Negotiated Drugs

$149K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

77

Avg Age

54%

Female

1.99

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