⚠️

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 →

Melinda Elkins-SmithMD

Family Practice · Ashland, KY 41101

NPI: 1235343286

Share:

24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

20,143

Total Claims

$2.3M

Drug Cost

847

Beneficiaries

$2,753

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

+1%

Opioid rate vs peers

2.6% vs 2.6% avg

+158%

Cost per patient vs peers

$2,753 vs $1,068 avg

+53%

Brand preference vs peers

13.7% 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

2.6%

Opioid Rate

527

Opioid Claims

$7,037

Opioid Cost

4.2%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,727 claims · $1.9M

Generic: 17,144 claims · $420K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin134$159K
Dulaglutide108$158K
Apixaban230$137K
Semaglutide87$134K
Insulin Glargine,hum.Rec.Anlog129$99K
Tirzepatide66$86K
Insulin Degludec32$74K
Rivaroxaban90$70K
Sitagliptin Phosphate108$67K
Linaclotide79$65K
Fluticasone/Umeclidin/Vilanter50$59K
Dapagliflozin Propanediol78$53K
Insulin Lispro43$36K
Insulin Aspart39$33K
Semaglutide17$33K

Prescribing Profile

230

Unique Drugs

$545K

IRA Negotiated Drugs

$441K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

71

Avg Age

66%

Female

1.50

Avg Risk Score

Explore More

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