⚠️

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 →

Scott MassienMD

Internal Medicine · Beachwood, OH 44122

NPI: 1093811879

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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

9,979

Total Claims

$812K

Drug Cost

852

Beneficiaries

$953

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

+12%

Opioid rate vs peers

2.5% vs 2.2% avg

-32%

Cost per patient vs peers

$953 vs $1,411 avg

+9%

Brand preference vs peers

11.6% 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

250

Opioid Claims

$6,091

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,147 claims · $620K

Generic: 8,766 claims · $190K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban126$119K
Empagliflozin73$73K
Sitagliptin Phosphate87$62K
Rivaroxaban45$41K
Semaglutide32$40K
Fluticasone/Umeclidin/Vilanter38$26K
Tirzepatide20$23K
Linaclotide22$19K
Dulaglutide30$17K
Tiotropium Bromide18$16K
Canagliflozin11$15K
Insulin Glargine,hum.Rec.Anlog30$14K
Fluticasone/Vilanterol20$9,882
Atorvastatin Calcium586$9,451
Rosuvastatin Calcium278$7,402

Prescribing Profile

125

Unique Drugs

$296K

IRA Negotiated Drugs

$80K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

54%

Female

1.52

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