⚠️

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 →

Donna LesterMD

Family Practice · Saint Cloud, FL 34769

NPI: 1114991395

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

8,920

Total Claims

$652K

Drug Cost

702

Beneficiaries

$928

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. 106,889 Family Practice providers

-50%

Opioid rate vs peers

1.3% vs 2.6% avg

-13%

Cost per patient vs peers

$928 vs $1,068 avg

+15%

Brand preference vs peers

10.3% 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

1.3%

Opioid Rate

114

Opioid Claims

$634

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 913 claims · $528K

Generic: 7,939 claims · $122K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban99$109K
Sitagliptin Phosphate25$39K
Fluticasone/Umeclidin/Vilanter23$36K
Rivaroxaban31$33K
Denosumab17$28K
Fluticasone/Vilanterol24$26K
Mirabegron21$21K
Budesonide/Formoterol Fumarate19$15K
Insulin Glargine,hum.Rec.Anlog21$13K
Semaglutide11$11K
Levothyroxine Sodium521$8,158
Albuterol Sulfate160$7,875
Atorvastatin Calcium611$7,078
Fluticasone Propion/Salmeterol12$6,555
Losartan Potassium293$4,214

Prescribing Profile

122

Unique Drugs

$180K

IRA Negotiated Drugs

$11K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

74

Avg Age

70%

Female

1.67

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