⚠️

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 →

Adam MitchellMD

Internal Medicine · Humble, TX 77396

NPI: 1104849298

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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

13,278

Total Claims

$1.0M

Drug Cost

1,092

Beneficiaries

$951

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

+96%

Opioid rate vs peers

4.4% vs 2.2% avg

-33%

Cost per patient vs peers

$951 vs $1,411 avg

-2%

Brand preference vs peers

10.5% 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

4.4%

Opioid Rate

582

Opioid Claims

$6,412

Opioid Cost

2.6%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,378 claims · $797K

Generic: 11,786 claims · $235K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban152$122K
Semaglutide67$63K
Sitagliptin Phosphate60$62K
Empagliflozin51$50K
Rivaroxaban53$46K
Dapagliflozin Propanediol51$44K
Dulaglutide42$43K
Insulin Aspart35$30K
Fluticasone Propion/Salmeterol47$28K
Insulin Degludec17$26K
Empagliflozin/Metformin Hcl14$22K
Linagliptin17$22K
Insulin Glargine,hum.Rec.Anlog55$21K
Insulin Detemir33$21K
Fluticasone/Umeclidin/Vilanter28$17K

Prescribing Profile

147

Unique Drugs

$355K

IRA Negotiated Drugs

$106K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

49%

Female

1.36

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