⚠️

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 →

Stephen NaleM.D.

Family Practice · New Albany, IN 47150

NPI: 1134153463

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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

16,351

Total Claims

$1.1M

Drug Cost

788

Beneficiaries

$1,411

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. 106,889 Family Practice providers

+23%

Opioid rate vs peers

3.2% vs 2.6% avg

+32%

Cost per patient vs peers

$1,411 vs $1,068 avg

+66%

Brand preference vs peers

14.9% 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

3.2%

Opioid Rate

518

Opioid Claims

$10K

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 2,431 claims · $823K

Generic: 13,866 claims · $286K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin93$93K
Apixaban155$77K
Sitagliptin Phosphate67$62K
Fluticasone/Umeclidin/Vilanter49$52K
Semaglutide42$50K
Dulaglutide22$30K
Rivaroxaban84$29K
Insulin Glargine,hum.Rec.Anlog42$25K
Dapagliflozin Propanediol48$24K
Budesonide/Formoterol Fumarate41$22K
Insulin Glargine,hum.Rec.Anlog50$22K
Linagliptin46$20K
Mirabegron48$18K
Umeclidinium Brm/Vilanterol Tr24$16K
Varicella-Zoster Ge/As01b/Pf68$14K

Prescribing Profile

200

Unique Drugs

$289K

IRA Negotiated Drugs

$80K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

76

Avg Age

58%

Female

1.66

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