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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 →

Matthew GibfriedMD

Internal Medicine · Saint Louis, MO 63141

NPI: 1104887728

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

17,052

Total Claims

$1.2M

Drug Cost

772

Beneficiaries

$1,569

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+42%

Opioid rate vs peers

3.2% vs 2.2% avg

+11%

Cost per patient vs peers

$1,569 vs $1,411 avg

+3%

Brand preference vs peers

10.9% 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

3.2%

Opioid Rate

543

Opioid Claims

$18K

Opioid Cost

2.4%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,834 claims · $769K

Generic: 14,956 claims · $434K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban265$134K
Linagliptin122$72K
Mirabegron107$41K
Rivaroxaban59$34K
Budesonide/Formoterol Fumarate78$33K
Insulin Glargine,hum.Rec.Anlog28$23K
Insulin Aspart25$22K
Sitagliptin Phosphate24$18K
Rivastigmine20$15K
Linaclotide20$13K
Sitagliptin Phos/Metformin Hcl23$13K
Lidocaine37$12K
Empagliflozin23$12K
Fluticasone/Umeclidin/Vilanter16$11K
Insulin Glargine,hum.Rec.Anlog22$10K

Prescribing Profile

185

Unique Drugs

$227K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

78

Avg Age

70%

Female

2.18

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