⚠️

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 →

Randall RheaMD

Family Practice · Vinton, VA 24179

NPI: 1073586970

Share:

15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

11,509

Total Claims

$693K

Drug Cost

1,205

Beneficiaries

$575

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-14%

Opioid rate vs peers

2.2% vs 2.6% avg

-46%

Cost per patient vs peers

$575 vs $1,068 avg

-15%

Brand preference vs peers

7.6% 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

2.2%

Opioid Rate

254

Opioid Claims

$2,446

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 872 claims · $520K

Generic: 10,534 claims · $169K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban110$111K
Empagliflozin51$60K
Insulin Glargine,hum.Rec.Anlog53$48K
Semaglutide21$31K
Rivaroxaban31$28K
Sitagliptin Phosphate14$18K
Tiotropium Bromide17$16K
Budesonide/Formoterol Fumarate31$15K
Dulaglutide11$15K
Finerenone12$8,196
Fluticasone Propion/Salmeterol18$6,076
Omeprazole435$5,983
Gabapentin277$5,545
Diclofenac Sodium240$5,506
Atorvastatin Calcium433$5,276

Prescribing Profile

131

Unique Drugs

$217K

IRA Negotiated Drugs

$46K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

73

Avg Age

55%

Female

1.12

Avg Risk Score

Explore More

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