⚠️

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 →

Thomas BakerM.D.

Family Practice · Saint Marys, PA 15857

NPI: 1093756207

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25

🟡 Moderate

Risk Flags

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

13,838

Total Claims

$1.2M

Drug Cost

926

Beneficiaries

$1,256

Cost/Patient

Risk Score Breakdown 25/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+199%

Opioid rate vs peers

7.7% vs 2.6% avg

+18%

Cost per patient vs peers

$1,256 vs $1,068 avg

+1%

Brand preference vs peers

9.1% 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

7.7%

Opioid Rate

1,067

Opioid Claims

$125K

Opioid Cost

18.2%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 1,247 claims · $846K

Generic: 12,511 claims · $313K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban157$125K
Rivaroxaban70$71K
Empagliflozin67$64K
Dapagliflozin Propanediol66$51K
Oxymorphone Hcl40$43K
Insulin Lispro28$38K
Semaglutide30$35K
Oxycodone Hcl36$33K
Sacubitril/Valsartan34$30K
Sitagliptin Phosphate26$29K
Fluticasone/Umeclidin/Vilanter37$29K
Insulin Glargine,hum.Rec.Anlog23$28K
Dextromethorphan Hbr/Quinidine13$20K
Dulaglutide11$19K
Alirocumab15$19K

Prescribing Profile

172

Unique Drugs

$370K

IRA Negotiated Drugs

$69K

GLP-1 Drugs

25.0

Anomaly Score

Patient Profile

73

Avg Age

50%

Female

1.31

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