⚠️

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 →

Ailey BrehmerDO

Internal Medicine · West Des Moines, IA 50266

NPI: 1104939545

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14

🟢 Low

Risk Flags

Elevated long-acting opioid rateOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,273

Total Claims

$1.0M

Drug Cost

659

Beneficiaries

$1,538

Cost/Patient

Risk Score Breakdown 14/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+147%

Opioid rate vs peers

5.5% vs 2.2% avg

+9%

Cost per patient vs peers

$1,538 vs $1,411 avg

+33%

Brand preference vs peers

14.1% 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

5.5%

Opioid Rate

512

Opioid Claims

$15K

Opioid Cost

20.1%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,302 claims · $822K

Generic: 7,903 claims · $186K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide130$166K
Dulaglutide121$158K
Rivaroxaban50$74K
Empagliflozin68$73K
Semaglutide33$43K
Insulin Glargine,hum.Rec.Anlog69$35K
Apixaban30$30K
Linaclotide41$28K
Mirabegron40$24K
Fluticasone/Vilanterol27$14K
Fluticasone Propionate15$12K
Fluticasone Propion/Salmeterol25$12K
Insulin Aspart12$12K
Insulin Glargine,hum.Rec.Anlog20$11K
Budesonide/Formoterol Fumarate17$9,694

Prescribing Profile

127

Unique Drugs

$190K

IRA Negotiated Drugs

$367K

GLP-1 Drugs

14.0

Anomaly Score

Patient Profile

74

Avg Age

80%

Female

1.06

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