⚠️

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 →

Dominador LaynesM.D.

Internal Medicine · Saginaw, MI 48603

NPI: 1104915115

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,976

Total Claims

$1.5M

Drug Cost

578

Beneficiaries

$2,672

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+55%

Opioid rate vs peers

3.5% vs 2.2% avg

+89%

Cost per patient vs peers

$2,672 vs $1,411 avg

+39%

Brand preference vs peers

14.8% 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

3.5%

Opioid Rate

346

Opioid Claims

$3,351

Opioid Cost

3.5%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,452 claims · $1.3M

Generic: 8,390 claims · $224K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin213$314K
Semaglutide79$138K
Apixaban95$119K
Dulaglutide64$113K
Dapagliflozin Propanediol54$76K
Liraglutide29$56K
Insulin Glargine,hum.Rec.Anlog56$44K
Tirzepatide38$40K
Rivaroxaban25$38K
Insulin Lispro17$23K
Sacubitril/Valsartan13$18K
Linagliptin11$16K
Atorvastatin Calcium745$15K
Budesonide/Formoterol Fumarate21$14K
Insulin Degludec14$13K

Prescribing Profile

136

Unique Drugs

$565K

IRA Negotiated Drugs

$347K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

75

Avg Age

52%

Female

1.19

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