⚠️

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 →

Margaret WestinMD

Family Practice · Richmond, VA 23226

NPI: 1114960184

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15

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

14,089

Total Claims

$1.2M

Drug Cost

921

Beneficiaries

$1,319

Cost/Patient

Risk Score Breakdown 15/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-64%

Opioid rate vs peers

0.9% vs 2.6% avg

+23%

Cost per patient vs peers

$1,319 vs $1,068 avg

+20%

Brand preference vs peers

10.8% 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

0.9%

Opioid Rate

132

Opioid Claims

$1,588

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,508 claims · $885K

Generic: 12,482 claims · $325K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide84$120K
Apixaban122$101K
Sitagliptin Phos/Metformin Hcl49$58K
Sitagliptin Phosphate33$52K
Rivaroxaban45$51K
Fluticasone/Umeclidin/Vilanter43$40K
Insulin Glargine,hum.Rec.Anlog28$32K
Empagliflozin22$32K
Budesonide/Formoterol Fumarate33$24K
Sitagliptin Phos/Metformin Hcl19$21K
Semaglutide17$19K
Mirabegron21$19K
Tirzepatide15$16K
Umeclidinium Brm/Vilanterol Tr23$16K
Rosuvastatin Calcium683$15K

Prescribing Profile

159

Unique Drugs

$236K

IRA Negotiated Drugs

$156K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

81%

Female

0.95

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