⚠️

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 PiccianoM.D.

Family Practice · East Syracuse, NY 13057

NPI: 1073500906

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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

10,713

Total Claims

$1.4M

Drug Cost

943

Beneficiaries

$1,500

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. 106,889 Family Practice providers

+58%

Opioid rate vs peers

4.1% vs 2.6% avg

+41%

Cost per patient vs peers

$1,500 vs $1,068 avg

+58%

Brand preference vs peers

14.2% 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

4.1%

Opioid Rate

436

Opioid Claims

$18K

Opioid Cost

3.7%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,497 claims · $1.2M

Generic: 9,024 claims · $233K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin173$203K
Dulaglutide96$142K
Insulin Glargine,hum.Rec.Anlog128$98K
Dapagliflozin Propanediol51$72K
Sitagliptin Phosphate49$54K
Semaglutide38$44K
Empagliflozin/Metformin Hcl38$37K
Rivaroxaban36$34K
Lurasidone Hcl12$33K
Apixaban29$24K
Sitagliptin Phos/Metformin Hcl14$18K
Insulin Aspart18$17K
Fluticasone/Umeclidin/Vilanter22$16K
Umeclidinium Brm/Vilanterol Tr17$15K
Insulin Glargine,hum.Rec.Anlog25$15K

Prescribing Profile

138

Unique Drugs

$404K

IRA Negotiated Drugs

$187K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

52%

Female

1.12

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