⚠️

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 TrapnellM.D.

Family Practice · Santa Rosa, CA 95403

NPI: 1073526729

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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

11,970

Total Claims

$818K

Drug Cost

1,132

Beneficiaries

$723

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

+44%

Opioid rate vs peers

3.7% vs 2.6% avg

-32%

Cost per patient vs peers

$723 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

3.7%

Opioid Rate

446

Opioid Claims

$12K

Opioid Cost

14.1%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 1,046 claims · $555K

Generic: 10,801 claims · $260K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban114$142K
Rivaroxaban48$47K
Empagliflozin28$43K
Mirabegron19$23K
Budesonide/Formoterol Fumarate36$23K
Sitagliptin Phosphate13$22K
Estrogens, Conjugated41$17K
Tiotropium Bromide18$17K
Fluticasone/Vilanterol22$16K
Insulin Glargine,hum.Rec.Anlog24$16K
Liraglutide19$15K
Atorvastatin Calcium1,012$15K
Fluticasone Propion/Salmeterol28$14K
Rosuvastatin Calcium412$14K
Levothyroxine Sodium675$12K

Prescribing Profile

145

Unique Drugs

$253K

IRA Negotiated Drugs

$15K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

76

Avg Age

53%

Female

1.06

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