⚠️

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 →

Randall WilliamsMD

General Practice · Chico, CA 95926

NPI: 1245261114

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

18,352

Total Claims

$2.2M

Drug Cost

1,318

Beneficiaries

$1,683

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 7,389 General Practice providers

+93%

Opioid rate vs peers

4.8% vs 2.5% avg

+49%

Cost per patient vs peers

$1,683 vs $1,128 avg

+80%

Brand preference vs peers

15.2% vs 8.4% 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

4.8%

Opioid Rate

878

Opioid Claims

$16K

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 2,766 claims · $1.8M

Generic: 15,478 claims · $397K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Tirzepatide253$296K
Semaglutide223$284K
Apixaban211$174K
Glatiramer Acetate12$91K
Empagliflozin39$66K
Mirabegron57$55K
Dapagliflozin Propanediol38$51K
Dulaglutide29$44K
Varicella-Zoster Ge/As01b/Pf218$44K
Empagliflozin/Linagliptin24$39K
Rosuvastatin Calcium1,484$38K
Rivaroxaban31$37K
Fluticasone/Umeclidin/Vilanter36$36K
Rsvpref3 Antigen/As01e/Pf113$34K
Evolocumab28$29K

Prescribing Profile

182

Unique Drugs

$375K

IRA Negotiated Drugs

$625K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

75

Avg Age

53%

Female

0.93

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