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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 →

James BachsteinMD

Family Practice · Lebanon, TN 37087

NPI: 1104802271

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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

10,931

Total Claims

$1.1M

Drug Cost

580

Beneficiaries

$1,857

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. 106,889 Family Practice providers

-89%

Opioid rate vs peers

0.3% vs 2.6% avg

+74%

Cost per patient vs peers

$1,857 vs $1,068 avg

+34%

Brand preference vs peers

12.1% 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

0.3%

Opioid Rate

31

Opioid Claims

$176

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,312 claims · $826K

Generic: 9,538 claims · $246K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban40$53K
Fluticasone/Umeclidin/Vilanter33$50K
Dapagliflozin Propanediol26$44K
Dulaglutide22$43K
Semaglutide28$42K
Sitagliptin Phosphate45$41K
Empagliflozin38$41K
Insulin Degludec17$30K
Sitagliptin Phos/Metformin Hcl25$29K
Empagliflozin/Linagliptin23$29K
Insulin Lispro12$26K
Linagliptin16$25K
Umeclidinium Brm/Vilanterol Tr26$24K
Linaclotide33$23K
Mirabegron21$21K

Prescribing Profile

160

Unique Drugs

$180K

IRA Negotiated Drugs

$85K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

74

Avg Age

51%

Female

1.29

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