⚠️

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 →

Tara McmichaelMD

Internal Medicine · Waconia, MN 55387

NPI: 1134368160

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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

11,346

Total Claims

$872K

Drug Cost

729

Beneficiaries

$1,196

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. 110,156 Internal Medicine providers

+15%

Opioid rate vs peers

2.6% vs 2.2% avg

-15%

Cost per patient vs peers

$1,196 vs $1,411 avg

-12%

Brand preference vs peers

9.4% 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

2.6%

Opioid Rate

292

Opioid Claims

$7,879

Opioid Cost

3.8%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 1,056 claims · $579K

Generic: 10,226 claims · $290K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rivaroxaban120$116K
Apixaban105$88K
Insulin Glargine,hum.Rec.Anlog57$53K
Sitagliptin Phosphate25$35K
Empagliflozin25$32K
Semaglutide17$25K
Dapagliflozin Propanediol11$20K
Fluticasone/Vilanterol18$12K
Celecoxib106$11K
Insulin Aspart20$11K
Rosuvastatin Calcium316$11K
Levothyroxine Sodium480$11K
Atorvastatin Calcium356$8,675
Amlodipine Besylate500$8,291
Fluoxetine Hcl129$6,967

Prescribing Profile

138

Unique Drugs

$302K

IRA Negotiated Drugs

$25K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

76

Avg Age

84%

Female

1.11

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