⚠️

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 →

Krystal VonfeldtDO

Family Practice · Duncan, OK 73533

NPI: 1114294741

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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

9,714

Total Claims

$1.2M

Drug Cost

384

Beneficiaries

$3,068

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. 106,889 Family Practice providers

+143%

Opioid rate vs peers

6.3% vs 2.6% avg

+187%

Cost per patient vs peers

$3,068 vs $1,068 avg

+68%

Brand preference vs peers

15.1% 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

6.3%

Opioid Rate

609

Opioid Claims

$19K

Opioid Cost

5.7%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,456 claims · $996K

Generic: 8,200 claims · $180K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban162$125K
Empagliflozin87$94K
Dulaglutide76$84K
Semaglutide69$72K
Tirzepatide48$66K
Linaclotide59$42K
Rimegepant Sulfate24$38K
Budesonide/Formoterol Fumarate64$37K
Fluticasone/Umeclidin/Vilanter42$30K
Insulin Degludec27$30K
Insulin Glargine,hum.Rec.Anlog11$27K
Sitagliptin Phosphate20$22K
Rivaroxaban27$21K
Insulin Detemir17$20K
Dapagliflozin Propanediol16$19K

Prescribing Profile

147

Unique Drugs

$281K

IRA Negotiated Drugs

$235K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

72

Avg Age

69%

Female

1.36

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