⚠️

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 →

James BatesMD

Internal Medicine · Asheville, NC 28801

NPI: 1093001760

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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

15,776

Total Claims

$1.6M

Drug Cost

619

Beneficiaries

$2,559

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

-22%

Opioid rate vs peers

1.7% vs 2.2% avg

+81%

Cost per patient vs peers

$2,559 vs $1,411 avg

+100%

Brand preference vs peers

21.3% 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

1.7%

Opioid Rate

276

Opioid Claims

$10K

Opioid Cost

8.0%

Long-Acting Rate

Brand vs Generic

79% generic

Brand: 3,335 claims · $1.2M

Generic: 12,326 claims · $351K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban641$189K
Dulaglutide287$185K
Valbenazine Tosylate25$123K
Glatiramer Acetate11$81K
Rivaroxaban201$61K
Empagliflozin139$41K
Insulin Aspart134$29K
Insulin Glargine,hum.Rec.Anlog161$25K
Fluticasone Propion/Salmeterol52$25K
Tiotropium Bromide43$22K
Sacubitril/Valsartan54$17K
Divalproex Sodium309$15K
Budesonide18$14K
Budesonide/Formoterol Fumarate34$13K
Umeclidinium Bromide32$12K

Prescribing Profile

182

Unique Drugs

$338K

IRA Negotiated Drugs

$185K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

75

Avg Age

61%

Female

2.75

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