⚠️

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 →

Terry HessMD

Family Practice · Lewisville, NC 27023

NPI: 1124090279

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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

15,539

Total Claims

$1.2M

Drug Cost

1,010

Beneficiaries

$1,181

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

-78%

Opioid rate vs peers

0.6% vs 2.6% avg

+11%

Cost per patient vs peers

$1,181 vs $1,068 avg

+7%

Brand preference vs peers

9.6% 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

0.6%

Opioid Rate

88

Opioid Claims

$2,229

Opioid Cost

13.6%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,475 claims · $934K

Generic: 13,906 claims · $248K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban151$138K
Dulaglutide72$116K
Rivaroxaban54$64K
Fluticasone/Vilanterol80$55K
Sitagliptin Phosphate53$43K
Empagliflozin35$36K
Insulin Glargine,hum.Rec.Anlog35$31K
Fluticasone/Umeclidin/Vilanter33$27K
Insulin Nph Hum/Reg Insulin Hm11$25K
Insulin Lispro Protamin/Lispro11$25K
Mirabegron26$22K
Tiotropium Bromide19$19K
Semaglutide14$16K
Sacubitril/Valsartan12$15K
Fluticasone Propion/Salmeterol24$9,851

Prescribing Profile

164

Unique Drugs

$296K

IRA Negotiated Drugs

$132K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

73

Avg Age

50%

Female

1.20

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