⚠️

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 →

Nathan TrenthamMD

Internal Medicine · Etowah, TN 37331

NPI: 1134185358

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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

14,600

Total Claims

$2.0M

Drug Cost

641

Beneficiaries

$3,139

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

+10%

Opioid rate vs peers

2.5% vs 2.2% avg

+122%

Cost per patient vs peers

$3,139 vs $1,411 avg

+69%

Brand preference vs peers

17.9% 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

2.5%

Opioid Rate

360

Opioid Claims

$6,179

Opioid Cost

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 2,602 claims · $1.8M

Generic: 11,906 claims · $247K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Tirzepatide165$192K
Evolocumab215$173K
Apixaban152$109K
Empagliflozin122$107K
Semaglutide85$87K
Finerenone111$86K
Dapagliflozin Propanediol114$81K
Dulaglutide74$67K
Sacubitril/Valsartan80$66K
Semaglutide34$50K
Rivaroxaban73$49K
Fluticasone/Umeclidin/Vilanter56$47K
Rimegepant Sulfate32$44K
Alirocumab44$32K
Bempedoic Acid/Ezetimibe49$31K

Prescribing Profile

178

Unique Drugs

$411K

IRA Negotiated Drugs

$396K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

74

Avg Age

55%

Female

1.13

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