⚠️

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 →

Julie CahillMD

Family Practice · Sedalia, MO 65301

NPI: 1104883925

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18

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

10,705

Total Claims

$729K

Drug Cost

488

Beneficiaries

$1,494

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+6%

Opioid rate vs peers

2.7% vs 2.6% avg

+40%

Cost per patient vs peers

$1,494 vs $1,068 avg

+29%

Brand preference vs peers

11.6% 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

2.7%

Opioid Rate

292

Opioid Claims

$3,486

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,226 claims · $577K

Generic: 9,317 claims · $147K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide56$61K
Rivaroxaban49$55K
Apixaban92$52K
Sitagliptin Phosphate51$52K
Tirzepatide35$39K
Dulaglutide32$36K
Empagliflozin40$31K
Insulin Glargine,hum.Rec.Anlog35$21K
Insulin Glargine,hum.Rec.Anlog46$21K
Budesonide/Formoterol Fumarate44$21K
Insulin Aspart33$20K
Linaclotide28$16K
Tiotropium Br/Olodaterol Hcl15$9,554
Insulin Detemir17$9,271
Dextromethorphan Hbr/Quinidine17$8,648

Prescribing Profile

154

Unique Drugs

$210K

IRA Negotiated Drugs

$136K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

72

Avg Age

71%

Female

1.03

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