⚠️

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 →

Pamela HigginsMD

Family Practice · N Manchester, IN 46962

NPI: 1134108541

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21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

12,069

Total Claims

$991K

Drug Cost

695

Beneficiaries

$1,426

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

-25%

Opioid rate vs peers

1.9% vs 2.6% avg

+34%

Cost per patient vs peers

$1,426 vs $1,068 avg

+27%

Brand preference vs peers

11.4% 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

1.9%

Opioid Rate

233

Opioid Claims

$3,841

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,362 claims · $757K

Generic: 10,550 claims · $223K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban192$122K
Empagliflozin76$54K
Sitagliptin Phosphate37$54K
Insulin Glargine,hum.Rec.Anlog65$40K
Fluticasone/Umeclidin/Vilanter43$37K
Semaglutide15$25K
Insulin Detemir11$25K
Rivaroxaban45$25K
Fluticasone/Vilanterol32$22K
Mirabegron39$20K
Lipase/Protease/Amylase13$18K
Dulaglutide13$15K
Umeclidinium Brm/Vilanterol Tr20$14K
Linagliptin30$13K
Liraglutide11$12K

Prescribing Profile

157

Unique Drugs

$263K

IRA Negotiated Drugs

$52K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

76

Avg Age

72%

Female

1.24

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