⚠️

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 →

John VassalloM.D.

Internal Medicine · Howell, MI 48843

NPI: 1275590119

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29

🟡 Moderate

Risk Flags

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

21,426

Total Claims

$1.9M

Drug Cost

903

Beneficiaries

$2,098

Cost/Patient

Risk Score Breakdown 29/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+111%

Opioid rate vs peers

4.7% vs 2.2% avg

+49%

Cost per patient vs peers

$2,098 vs $1,411 avg

+86%

Brand preference vs peers

19.8% vs 10.6% 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

4.7%

Opioid Rate

1,013

Opioid Claims

$36K

Opioid Cost

16.8%

Long-Acting Rate

Brand vs Generic

80% generic

Brand: 4,218 claims · $1.5M

Generic: 17,102 claims · $431K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban557$230K
Empagliflozin280$139K
Dulaglutide144$86K
Dapagliflozin Propanediol137$84K
Rivaroxaban109$70K
Fluticasone/Umeclidin/Vilanter65$58K
Etanercept24$45K
Sitagliptin Phosphate115$40K
Insulin Glargine,hum.Rec.Anlog80$39K
Insulin Aspart43$34K
Insulin Glargine,hum.Rec.Anlog73$30K
Insulin Degludec18$26K
Mirabegron104$23K
Atorvastatin Calcium1,274$22K
Evolocumab22$22K

Prescribing Profile

195

Unique Drugs

$673K

IRA Negotiated Drugs

$117K

GLP-1 Drugs

29.0

Anomaly Score

Patient Profile

76

Avg Age

54%

Female

1.66

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