⚠️

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 →

Joseph ShehanM.D.

Internal Medicine · Omaha, NE 68106

NPI: 1174632061

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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

22,273

Total Claims

$1.6M

Drug Cost

851

Beneficiaries

$1,875

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. 110,156 Internal Medicine providers

+3%

Opioid rate vs peers

2.3% vs 2.2% avg

+33%

Cost per patient vs peers

$1,875 vs $1,411 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

2.3%

Opioid Rate

515

Opioid Claims

$14K

Opioid Cost

8.2%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,359 claims · $1.2M

Generic: 19,782 claims · $387K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Tirzepatide171$207K
Apixaban178$143K
Dulaglutide107$142K
Rivaroxaban122$114K
Semaglutide82$83K
Empagliflozin65$52K
Linaclotide64$36K
Fluticasone Propion/Salmeterol62$33K
Fluticasone/Umeclidin/Vilanter27$30K
Insulin Lispro32$29K
Insulin Glargine,hum.Rec.Anlog43$28K
Mirabegron31$19K
Canagliflozin16$19K
Sitagliptin Phosphate24$18K
Mesalamine26$17K

Prescribing Profile

202

Unique Drugs

$328K

IRA Negotiated Drugs

$444K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

75

Avg Age

53%

Female

1.73

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