⚠️

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 DangeloDO

Family Practice · Kansas City, MO 64114

NPI: 1093704314

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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

11,469

Total Claims

$942K

Drug Cost

911

Beneficiaries

$1,035

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. 106,889 Family Practice providers

+226%

Opioid rate vs peers

8.4% vs 2.6% avg

-3%

Cost per patient vs peers

$1,035 vs $1,068 avg

-2%

Brand preference vs peers

8.8% 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

💊

Opioid rate is 226% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

⚠️

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

8.4%

Opioid Rate

963

Opioid Claims

$25K

Opioid Cost

3.6%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 1,005 claims · $750K

Generic: 10,410 claims · $189K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide97$137K
Empagliflozin100$94K
Semaglutide38$58K
Apixaban48$54K
Sitagliptin Phosphate44$46K
Tirzepatide27$33K
Insulin Glargine,hum.Rec.Anlog31$30K
Rivaroxaban20$28K
Linagliptin27$28K
Insulin Degludec21$27K
Insulin Glargine,hum.Rec.Anlog27$18K
Sitagliptin Phos/Metformin Hcl11$17K
Dapagliflozin Propanediol25$16K
Semaglutide12$12K
Insulin Lispro11$9,037

Prescribing Profile

143

Unique Drugs

$238K

IRA Negotiated Drugs

$240K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

72

Avg Age

49%

Female

1.22

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