⚠️

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 →

Joseph KruegerMD

Internal Medicine · Napoleon, OH 43545

NPI: 1134158553

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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

9,058

Total Claims

$749K

Drug Cost

511

Beneficiaries

$1,466

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. 110,156 Internal Medicine providers

-52%

Opioid rate vs peers

1.1% vs 2.2% avg

+4%

Cost per patient vs peers

$1,466 vs $1,411 avg

-3%

Brand preference vs peers

10.3% 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

1.1%

Opioid Rate

97

Opioid Claims

$1,665

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 921 claims · $596K

Generic: 8,039 claims · $149K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban188$173K
Dulaglutide39$70K
Insulin Glargine,hum.Rec.Anlog55$46K
Rivaroxaban30$46K
Dapagliflozin Propanediol33$29K
Empagliflozin29$25K
Sitagliptin Phosphate28$21K
Umeclidinium Brm/Vilanterol Tr32$18K
Mirabegron11$12K
Insulin Glargine,hum.Rec.Anlog36$11K
Canagliflozin13$8,299
Atorvastatin Calcium557$7,966
Tamsulosin Hcl261$6,001
Fluticasone Propion/Salmeterol11$5,660
Bumetanide124$5,421

Prescribing Profile

113

Unique Drugs

$294K

IRA Negotiated Drugs

$70K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

78

Avg Age

51%

Female

1.07

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