⚠️

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 →

Marcia JonesM.D.

Family Practice · Sterling, IL 61081

NPI: 1114977063

Share:

18

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

12,911

Total Claims

$1.4M

Drug Cost

574

Beneficiaries

$2,493

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-24%

Opioid rate vs peers

2.0% vs 2.6% avg

+133%

Cost per patient vs peers

$2,493 vs $1,068 avg

+64%

Brand preference vs peers

14.7% 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

2.0%

Opioid Rate

253

Opioid Claims

$2,763

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,889 claims · $1.2M

Generic: 10,935 claims · $223K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide145$149K
Apixaban134$130K
Empagliflozin80$109K
Semaglutide60$81K
Budesonide/Formoterol Fumarate118$72K
Semaglutide34$56K
Dapagliflozin Propanediol50$52K
Insulin Glargine,hum.Rec.Anlog51$48K
Fluticasone/Umeclidin/Vilanter62$46K
Tiotropium Bromide42$37K
Tirzepatide29$37K
Rivaroxaban24$29K
Insulin Detemir38$29K
Mirabegron40$26K
Icosapent Ethyl31$26K

Prescribing Profile

136

Unique Drugs

$328K

IRA Negotiated Drugs

$322K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

74

Avg Age

83%

Female

1.03

Avg Risk Score

Explore More

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