⚠️

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 →

Victoria Vande ZandeMD

Internal Medicine · Eau Claire, WI 54701

NPI: 1083711279

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24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

10,763

Total Claims

$1.2M

Drug Cost

443

Beneficiaries

$2,699

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+188%

Opioid rate vs peers

6.5% vs 2.2% avg

+91%

Cost per patient vs peers

$2,699 vs $1,411 avg

+70%

Brand preference vs peers

18.0% 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

6.5%

Opioid Rate

695

Opioid Claims

$48K

Opioid Cost

11.2%

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 1,931 claims · $948K

Generic: 8,777 claims · $244K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban284$136K
Dulaglutide58$56K
Semaglutide37$37K
Oxycodone Hcl55$35K
Rivaroxaban38$32K
Insulin Glargine,hum.Rec.Anlog64$27K
Empagliflozin41$26K
Liraglutide13$26K
Fluticasone Propion/Salmeterol40$26K
Brexpiprazole15$23K
Insulin Aspart47$21K
Liraglutide21$19K
Tiotropium Bromide19$18K
Insulin Lispro38$17K
Umeclidinium Bromide31$16K

Prescribing Profile

166

Unique Drugs

$230K

IRA Negotiated Drugs

$138K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

72

Avg Age

73%

Female

1.30

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