⚠️

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 GardnerMD

Family Practice · New Wilmington, PA 16142

NPI: 1194766162

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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

22,575

Total Claims

$1.7M

Drug Cost

975

Beneficiaries

$1,708

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

-66%

Opioid rate vs peers

0.9% vs 2.6% avg

+60%

Cost per patient vs peers

$1,708 vs $1,068 avg

+22%

Brand preference vs peers

11.0% 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

0.9%

Opioid Rate

199

Opioid Claims

$4,497

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,471 claims · $1.4M

Generic: 19,958 claims · $292K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol187$167K
Apixaban340$165K
Rivaroxaban204$123K
Empagliflozin87$108K
Dulaglutide69$75K
Sitagliptin Phosphate43$54K
Insulin Glargine,hum.Rec.Anlog92$43K
Fluticasone/Umeclidin/Vilanter58$43K
Empagliflozin/Linagliptin38$41K
Semaglutide32$38K
Semaglutide24$34K
Insulin Aspart34$34K
Mirabegron80$29K
Icosapent Ethyl28$23K
Brexpiprazole13$18K

Prescribing Profile

178

Unique Drugs

$657K

IRA Negotiated Drugs

$147K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

77

Avg Age

52%

Female

1.24

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