⚠️

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 →

John NuschkeMD

Internal Medicine · Allentown, PA 18104

NPI: 1083665087

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

9,754

Total Claims

$951K

Drug Cost

733

Beneficiaries

$1,297

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. 110,156 Internal Medicine providers

+13%

Opioid rate vs peers

2.5% vs 2.2% avg

-8%

Cost per patient vs peers

$1,297 vs $1,411 avg

+3%

Brand preference vs peers

11.0% 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

2.5%

Opioid Rate

246

Opioid Claims

$13K

Opioid Cost

13.0%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,060 claims · $740K

Generic: 8,592 claims · $207K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban239$252K
Rivaroxaban46$67K
Dapagliflozin Propanediol44$55K
Sitagliptin Phosphate39$46K
Insulin Glargine,hum.Rec.Anlog44$32K
Empagliflozin29$27K
Semaglutide20$26K
Dulaglutide12$19K
Sacubitril/Valsartan12$19K
Levothyroxine Sodium444$8,230
Valsartan191$7,867
Levothyroxine Sodium88$7,747
Budesonide/Formoterol Fumarate11$6,968
Rosuvastatin Calcium405$6,807
Metoprolol Succinate242$5,677

Prescribing Profile

134

Unique Drugs

$466K

IRA Negotiated Drugs

$45K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

78

Avg Age

52%

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