⚠️

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 →

Julia BillingtonM.D.

Internal Medicine · Santa Barbara, CA 93110

NPI: 1104873801

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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

11,314

Total Claims

$1.1M

Drug Cost

989

Beneficiaries

$1,118

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

+39%

Opioid rate vs peers

3.1% vs 2.2% avg

-21%

Cost per patient vs peers

$1,118 vs $1,411 avg

+34%

Brand preference vs peers

14.2% 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

3.1%

Opioid Rate

351

Opioid Claims

$7,870

Opioid Cost

3.7%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,601 claims · $831K

Generic: 9,650 claims · $273K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban222$150K
Semaglutide101$130K
Dulaglutide75$95K
Rivaroxaban81$68K
Empagliflozin52$44K
Tirzepatide25$34K
Mirabegron61$30K
Sitagliptin Phosphate29$21K
Dapagliflozin Propanediol16$21K
Alirocumab19$20K
Fluticasone/Umeclidin/Vilanter24$19K
Vibegron35$17K
Linaclotide12$12K
Levothyroxine Sodium735$12K
Dexlansoprazole32$12K

Prescribing Profile

151

Unique Drugs

$311K

IRA Negotiated Drugs

$260K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

76

Avg Age

66%

Female

1.26

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