⚠️

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 →

John ClayM.D.

Family Practice · Colonial Heights, VA 23834

NPI: 1093905994

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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

14,872

Total Claims

$1.9M

Drug Cost

1,039

Beneficiaries

$1,861

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

-31%

Opioid rate vs peers

1.8% vs 2.6% avg

+74%

Cost per patient vs peers

$1,861 vs $1,068 avg

+33%

Brand preference vs peers

11.9% 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

1.8%

Opioid Rate

264

Opioid Claims

$3,606

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,756 claims · $1.6M

Generic: 12,948 claims · $281K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide94$192K
Insulin Glargine/Lixisenatide72$121K
Apixaban124$117K
Semaglutide72$117K
Rivaroxaban81$76K
Insulin Glargine,hum.Rec.Anlog60$70K
Empagliflozin52$61K
Insulin Degludec29$61K
Lipase/Protease/Amylase17$59K
Evolocumab55$52K
Dapagliflozin Propanediol36$50K
Insulin Glargine,hum.Rec.Anlog27$47K
Dapaglifloz Propaned/Metformin35$43K
Insulin Lispro23$30K
Linaclotide26$29K

Prescribing Profile

177

Unique Drugs

$329K

IRA Negotiated Drugs

$346K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

51%

Female

1.09

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