⚠️

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 →

Jill SpanglerDO

Family Practice · Nevada, MO 64772

NPI: 1144356890

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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

13,424

Total Claims

$1.0M

Drug Cost

541

Beneficiaries

$1,920

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

+32%

Opioid rate vs peers

3.4% vs 2.6% avg

+80%

Cost per patient vs peers

$1,920 vs $1,068 avg

+28%

Brand preference vs peers

11.5% 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

3.4%

Opioid Rate

456

Opioid Claims

$6,770

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,528 claims · $836K

Generic: 11,783 claims · $197K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin85$89K
Apixaban123$86K
Semaglutide54$72K
Dulaglutide49$72K
Budesonide/Formoterol Fumarate105$48K
Mirabegron89$42K
Insulin Detemir45$30K
Insulin Glargine,hum.Rec.Anlog38$26K
Sitagliptin Phosphate30$25K
Fluticasone Propion/Salmeterol36$23K
Dapagliflozin Propanediol23$22K
Linaclotide31$22K
Umeclidinium Bromide30$17K
Rivaroxaban13$13K
Tiotropium Bromide19$12K

Prescribing Profile

157

Unique Drugs

$236K

IRA Negotiated Drugs

$143K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

71

Avg Age

65%

Female

1.12

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