⚠️

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 →

Kathleen CizekM.D.

Internal Medicine · Saint Louis, MO 63128

NPI: 1083605331

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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

14,274

Total Claims

$864K

Drug Cost

812

Beneficiaries

$1,064

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

+70%

Opioid rate vs peers

3.8% vs 2.2% avg

-25%

Cost per patient vs peers

$1,064 vs $1,411 avg

-20%

Brand preference vs peers

8.5% 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

⚠️

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

3.8%

Opioid Rate

542

Opioid Claims

$7,563

Opioid Cost

5.7%

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 1,203 claims · $629K

Generic: 12,988 claims · $231K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban217$168K
Dulaglutide43$66K
Fluticasone/Umeclidin/Vilanter54$50K
Semaglutide35$34K
Insulin Glargine,hum.Rec.Anlog41$32K
Umeclidinium Brm/Vilanterol Tr27$22K
Insulin Glargine,hum.Rec.Anlog21$19K
Tiotropium Bromide32$19K
Budesonide/Formoterol Fumarate38$18K
Tirzepatide12$16K
Fluticasone/Vilanterol32$15K
Rsvpref3 Antigen/As01e/Pf48$15K
Mirabegron18$13K
Empagliflozin15$11K
Levothyroxine Sodium513$9,841

Prescribing Profile

145

Unique Drugs

$187K

IRA Negotiated Drugs

$115K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

76

Avg Age

75%

Female

1.35

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