⚠️

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 →

Christine LivekM.D.

Family Practice · Eldon, MO 65026

NPI: 1194758011

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26

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

52,667

Total Claims

$4.0M

Drug Cost

1,410

Beneficiaries

$2,816

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+178%

Opioid rate vs peers

7.2% vs 2.6% avg

+164%

Cost per patient vs peers

$2,816 vs $1,068 avg

+77%

Brand preference vs peers

15.9% 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

7.2%

Opioid Rate

3,773

Opioid Claims

$109K

Opioid Cost

6.5%

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 8,316 claims · $3.0M

Generic: 43,957 claims · $971K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban1,488$451K
Semaglutide151$181K
Insulin Glargine,hum.Rec.Anlog414$159K
Rivaroxaban470$119K
Empagliflozin213$95K
Adalimumab12$89K
Paliperidone Palmitate36$86K
Insulin Detemir292$85K
Pimavanserin Tartrate31$84K
Mirabegron341$76K
Dulaglutide79$73K
Budesonide/Formoterol Fumarate149$71K
Sitagliptin Phosphate103$69K
Insulin Aspart278$63K
Dapagliflozin Propanediol144$56K

Prescribing Profile

308

Unique Drugs

$921K

IRA Negotiated Drugs

$287K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

76

Avg Age

67%

Female

1.54

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