⚠️

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 →

Richard MilianM.D.

Family Practice · Montgomery, TX 77356

NPI: 1124464953

Share:

21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

13,685

Total Claims

$1.3M

Drug Cost

1,179

Beneficiaries

$1,096

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-83%

Opioid rate vs peers

0.4% vs 2.6% avg

+3%

Cost per patient vs peers

$1,096 vs $1,068 avg

+29%

Brand preference vs peers

11.6% 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

0.4%

Opioid Rate

61

Opioid Claims

$305

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,574 claims · $1.0M

Generic: 12,027 claims · $240K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide122$154K
Empagliflozin68$95K
Dulaglutide55$88K
Sitagliptin Phosphate54$63K
Tirzepatide44$50K
Mirabegron38$39K
Apixaban35$38K
Fluticasone/Umeclidin/Vilanter35$36K
Linaclotide17$26K
Insulin Glargine/Lixisenatide26$24K
Rivaroxaban15$24K
Insulin Aspart23$23K
Insulin Detemir16$23K
Insulin Glargine,hum.Rec.Anlog26$19K
Dapaglifloz Propaned/Metformin13$17K

Prescribing Profile

157

Unique Drugs

$272K

IRA Negotiated Drugs

$292K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

75

Avg Age

51%

Female

1.17

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