⚠️

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 →

Douglas JohnstonDO

Family Practice · Tyler, TX 75703

NPI: 1083641559

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

8,677

Total Claims

$765K

Drug Cost

620

Beneficiaries

$1,234

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-45%

Opioid rate vs peers

1.4% vs 2.6% avg

+16%

Cost per patient vs peers

$1,234 vs $1,068 avg

+34%

Brand preference vs peers

12.1% 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

1.4%

Opioid Rate

124

Opioid Claims

$935

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,038 claims · $594K

Generic: 7,576 claims · $168K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide103$104K
Apixaban80$78K
Tirzepatide61$69K
Dapagliflozin Propanediol28$32K
Rivaroxaban17$28K
Mirabegron24$19K
Insulin Degludec21$17K
Budesonide/Formoterol Fumarate36$16K
Empagliflozin16$15K
Insulin Glargine,hum.Rec.Anlog27$13K
Insulin Glargine,hum.Rec.Anlog14$13K
Insulin Degludec19$10K
Insulin Glargine,hum.Rec.Anlog22$9,536
Atorvastatin Calcium523$7,599
Umeclidinium Brm/Vilanterol Tr12$6,050

Prescribing Profile

134

Unique Drugs

$153K

IRA Negotiated Drugs

$173K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

73

Avg Age

52%

Female

1.18

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