⚠️

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 →

John CookDO

Internal Medicine · Saint Joseph, MO 64506

NPI: 1063827335

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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

16,114

Total Claims

$771K

Drug Cost

1,200

Beneficiaries

$643

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

+231%

Opioid rate vs peers

7.4% vs 2.2% avg

-54%

Cost per patient vs peers

$643 vs $1,411 avg

-42%

Brand preference vs peers

6.2% 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

💊

Opioid rate is 231% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

⚠️

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

7.4%

Opioid Rate

1,193

Opioid Claims

$26K

Opioid Cost

7.5%

Long-Acting Rate

Brand vs Generic

94% generic

Brand: 985 claims · $462K

Generic: 15,023 claims · $304K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban73$65K
Semaglutide41$39K
Rivaroxaban22$27K
Empagliflozin37$25K
Sitagliptin Phosphate21$24K
Umeclidinium Brm/Vilanterol Tr28$22K
Insulin Glargine,hum.Rec.Anlog25$16K
Rosuvastatin Calcium540$15K
Tiotropium Bromide14$15K
Alirocumab14$13K
Hydrocodone/Acetaminophen442$13K
Insulin Detemir14$11K
Atorvastatin Calcium865$11K
Linaclotide11$10K
Celecoxib234$9,330

Prescribing Profile

159

Unique Drugs

$140K

IRA Negotiated Drugs

$39K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

75

Avg Age

62%

Female

1.22

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