⚠️

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 →

James BuchananDO

Family Practice · Sacramento, CA 95823

NPI: 1063564284

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,182

Total Claims

$418K

Drug Cost

957

Beneficiaries

$437

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-19%

Opioid rate vs peers

2.1% vs 2.6% avg

-59%

Cost per patient vs peers

$437 vs $1,068 avg

-2%

Brand preference vs peers

8.8% vs 9.0% 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

2.1%

Opioid Rate

192

Opioid Claims

$8,046

Opioid Cost

6.3%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 798 claims · $248K

Generic: 8,237 claims · $168K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rivaroxaban26$35K
Tiotropium Bromide47$30K
Sitagliptin Phosphate23$30K
Apixaban13$20K
Empagliflozin21$18K
Linagliptin17$15K
Insulin Nph Human Isophane57$14K
Ipratropium/Albuterol Sulfate12$13K
Fluticasone Propion/Salmeterol61$13K
Dabigatran Etexilate Mesylate50$13K
Atorvastatin Calcium861$12K
Hydrocortisone/Pramoxine13$12K
Ciclesonide82$10K
Budesonide/Formoterol Fumarate16$9,750
Tiotropium Br/Olodaterol Hcl16$8,518

Prescribing Profile

120

Unique Drugs

$102K

IRA Negotiated Drugs

9.0

Anomaly Score

Patient Profile

74

Avg Age

48%

Female

1.38

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