⚠️

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 →

Steve TrikounakisRPA-C

Physician Assistant · Garnerville, NY 10923

NPI: 1235341959

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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

20,435

Total Claims

$3.3M

Drug Cost

765

Beneficiaries

$4,374

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. 109,535 Physician Assistant providers

-91%

Opioid rate vs peers

0.9% vs 9.2% avg

+508%

Cost per patient vs peers

$4,374 vs $719 avg

+185%

Brand preference vs peers

18.9% vs 6.7% 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

💰

Cost per patient is 508% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

⚠️

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

178

Opioid Claims

$1,209

Opioid Cost

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 3,779 claims · $2.9M

Generic: 16,168 claims · $443K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide179$259K
Empagliflozin202$229K
Sitagliptin Phosphate208$205K
Semaglutide125$192K
Semaglutide156$174K
Linagliptin169$173K
Sitagliptin Phos/Metformin Hcl159$154K
Finerenone145$116K
Icosapent Ethyl238$108K
Budesonide/Formoterol Fumarate205$94K
Linagliptin/Metformin Hcl78$89K
Apixaban112$86K
Sitagliptin Phos/Metformin Hcl97$84K
Empagliflozin/Metformin Hcl53$76K
Linaclotide90$59K

Prescribing Profile

186

Unique Drugs

$656K

IRA Negotiated Drugs

$641K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

71

Avg Age

67%

Female

1.31

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