⚠️

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 →

Thomas BreenM.D.

Internal Medicine · Independence, OH 44131

NPI: 1124148846

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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

11,030

Total Claims

$1.1M

Drug Cost

574

Beneficiaries

$1,882

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. 110,156 Internal Medicine providers

+137%

Opioid rate vs peers

5.3% vs 2.2% avg

+33%

Cost per patient vs peers

$1,882 vs $1,411 avg

+32%

Brand preference vs peers

14.0% vs 10.6% 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

5.3%

Opioid Rate

584

Opioid Claims

$18K

Opioid Cost

6.0%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,525 claims · $846K

Generic: 9,379 claims · $222K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban196$156K
Mirabegron142$64K
Rivaroxaban61$51K
Empagliflozin51$35K
Insulin Glargine,hum.Rec.Anlog42$35K
Insulin Lispro30$33K
Tirzepatide21$22K
Sitagliptin Phosphate22$21K
Semaglutide16$21K
Budesonide/Formoterol Fumarate45$19K
Tiotropium Bromide24$17K
Dulaglutide15$15K
Linaclotide21$14K
Fluticasone/Umeclidin/Vilanter19$13K
Mometasone/Formoterol30$11K

Prescribing Profile

168

Unique Drugs

$288K

IRA Negotiated Drugs

$66K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

77

Avg Age

69%

Female

3.08

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