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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.

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Samuel KingM. D.

Family Practice · Pikeville, KY 41501

NPI: 1174550867

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17

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

33,113

Total Claims

$2.8M

Drug Cost

1,004

Beneficiaries

$2,813

Cost/Patient

Risk Score Breakdown 17/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+163%

Cost per patient vs peers

$2,813 vs $1,068 avg

+44%

Brand preference vs peers

12.9% vs 9.0% avg

Brand vs Generic

87% generic

Brand: 4,246 claims · $2.3M

Generic: 28,627 claims · $501K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Tirzepatide206$231K
Apixaban272$225K
Dulaglutide127$159K
Empagliflozin156$155K
Semaglutide125$145K
Dapagliflozin Propanediol162$141K
Linaclotide156$119K
Insulin Glargine,hum.Rec.Anlog152$117K
Fluticasone/Umeclidin/Vilanter121$85K
Rivaroxaban81$69K
Sitagliptin Phosphate65$66K
Modafinil12$58K
Budesonide/Formoterol Fumarate112$56K
Insulin Glargine,hum.Rec.Anlog25$49K
Mirabegron37$36K

Prescribing Profile

226

Unique Drugs

$714K

IRA Negotiated Drugs

$534K

GLP-1 Drugs

17.0

Anomaly Score

Patient Profile

71

Avg Age

50%

Female

1.34

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