⚠️

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 →

Bryon HirschmanMD

Family Practice · Norfolk, NE 68701

NPI: 1194739912

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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

30,396

Total Claims

$2.3M

Drug Cost

1,345

Beneficiaries

$1,700

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

+59%

Cost per patient vs peers

$1,700 vs $1,068 avg

+32%

Brand preference vs peers

11.9% 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

1,008

Opioid Claims

$34K

Opioid Cost

13.7%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 3,570 claims · $1.7M

Generic: 26,556 claims · $568K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban583$360K
Rivaroxaban113$79K
Empagliflozin135$71K
Dulaglutide69$70K
Semaglutide61$63K
Insulin Glargine,hum.Rec.Anlog115$59K
Insulin Aspart84$56K
Aripiprazole18$51K
Sitagliptin Phosphate107$49K
Fluticasone/Umeclidin/Vilanter50$47K
Insulin Aspart Prot/Insuln Asp15$46K
Iloperidone11$40K
Linaclotide62$35K
Linagliptin34$34K
Budesonide/Formoterol Fumarate66$32K

Prescribing Profile

244

Unique Drugs

$652K

IRA Negotiated Drugs

$159K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

77

Avg Age

56%

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