⚠️

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 →

James CochranMD

Family Practice · Groveton, TX 75845

NPI: 1154304467

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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

30,233

Total Claims

$2.4M

Drug Cost

1,302

Beneficiaries

$1,856

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

+29%

Opioid rate vs peers

3.3% vs 2.6% avg

+74%

Cost per patient vs peers

$1,856 vs $1,068 avg

+53%

Brand preference vs peers

13.8% 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

3.3%

Opioid Rate

1,004

Opioid Claims

$14K

Opioid Cost

3.6%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 4,145 claims · $1.8M

Generic: 25,867 claims · $571K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban874$316K
Semaglutide200$209K
Fluticasone/Umeclidin/Vilanter116$89K
Tirzepatide81$84K
Insulin Glargine,hum.Rec.Anlog174$84K
Dulaglutide73$79K
Dapagliflozin Propanediol151$74K
Sitagliptin Phosphate131$68K
Rivaroxaban154$63K
Insulin Degludec72$54K
Semaglutide38$53K
Empagliflozin113$50K
Linagliptin101$39K
Fluticasone/Vilanterol88$39K
Mirabegron94$37K

Prescribing Profile

253

Unique Drugs

$590K

IRA Negotiated Drugs

$426K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

74

Avg Age

61%

Female

1.78

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