⚠️

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 →

Paul GulleyMD

Internal Medicine · Elkin, NC 28621

NPI: 1144272840

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13

🟢 Low

Risk Flags

Elevated cost per beneficiaryOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,020

Total Claims

$3.3M

Drug Cost

642

Beneficiaries

$5,159

Cost/Patient

Risk Score Breakdown 13/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+44%

Opioid rate vs peers

3.2% vs 2.2% avg

+266%

Cost per patient vs peers

$5,159 vs $1,411 avg

+166%

Brand preference vs peers

28.2% 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

3.2%

Opioid Rate

324

Opioid Claims

$6,495

Opioid Cost

Long-Acting Rate

Brand vs Generic

72% generic

Brand: 2,728 claims · $3.1M

Generic: 6,932 claims · $130K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide425$702K
Insulin Degludec106$265K
Insulin Glargine,hum.Rec.Anlog90$265K
Insulin Degludec160$198K
Insulin Glargine,hum.Rec.Anlog120$192K
Dulaglutide111$189K
Adalimumab13$183K
Empagliflozin166$162K
Insulin Lispro97$130K
Dapagliflozin Propanediol136$121K
Insulin Aspart74$91K
Tirzepatide26$66K
Apixaban76$54K
Rivaroxaban47$46K
Insulin Glargine,hum.Rec.Anlog41$42K

Prescribing Profile

129

Unique Drugs

$511K

IRA Negotiated Drugs

$986K

GLP-1 Drugs

13.0

Anomaly Score

Patient Profile

73

Avg Age

60%

Female

1.50

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