⚠️

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 →

Michael SullivanM.D.

Family Practice · Watertown, WI 53098

NPI: 1093883142

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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

11,968

Total Claims

$899K

Drug Cost

610

Beneficiaries

$1,474

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. 106,889 Family Practice providers

-72%

Opioid rate vs peers

0.7% vs 2.6% avg

+38%

Cost per patient vs peers

$1,474 vs $1,068 avg

+45%

Brand preference vs peers

13.1% 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

0.7%

Opioid Rate

85

Opioid Claims

$1,095

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,557 claims · $657K

Generic: 10,370 claims · $240K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban300$137K
Dulaglutide73$92K
Mirabegron220$85K
Semaglutide45$50K
Tirzepatide38$41K
Sitagliptin Phosphate23$17K
Insulin Glargine,hum.Rec.Anlog33$16K
Linaclotide15$12K
Fluticasone Propion/Salmeterol36$11K
Tiotropium Bromide11$9,549
Budesonide/Formoterol Fumarate13$9,278
Atorvastatin Calcium721$8,712
Levothyroxine Sodium451$6,996
Insulin Detemir20$6,580
Gabapentin256$6,552

Prescribing Profile

153

Unique Drugs

$159K

IRA Negotiated Drugs

$183K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

76

Avg Age

51%

Female

1.46

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