⚠️

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 →

Lisa SheplerM.D.

Internal Medicine · Mobile, AL 36608

NPI: 1093945644

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

11,316

Total Claims

$1.2M

Drug Cost

653

Beneficiaries

$1,809

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+19%

Opioid rate vs peers

2.7% vs 2.2% avg

+28%

Cost per patient vs peers

$1,809 vs $1,411 avg

+17%

Brand preference vs peers

12.4% 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

2.7%

Opioid Rate

301

Opioid Claims

$3,823

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,401 claims · $947K

Generic: 9,868 claims · $233K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Tirzepatide152$187K
Semaglutide128$166K
Sitagliptin Phosphate75$81K
Dapagliflozin Propanediol53$65K
Empagliflozin47$50K
Apixaban64$46K
Rivaroxaban34$32K
Linaclotide29$24K
Linagliptin19$23K
Insulin Degludec30$23K
Insulin Lispro19$22K
Fluticasone/Umeclidin/Vilanter27$21K
Mirabegron29$19K
Icosapent Ethyl29$15K
Insulin Detemir14$12K

Prescribing Profile

154

Unique Drugs

$275K

IRA Negotiated Drugs

$353K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

69%

Female

1.17

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