⚠️

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 →

Peggy Wanner-BarjenbruchMD

Internal Medicine · Mexico, MO 65265

NPI: 1326023185

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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

20,327

Total Claims

$1.5M

Drug Cost

814

Beneficiaries

$1,788

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. 110,156 Internal Medicine providers

+36%

Opioid rate vs peers

3.1% vs 2.2% avg

+27%

Cost per patient vs peers

$1,788 vs $1,411 avg

+7%

Brand preference vs peers

11.3% 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

3.1%

Opioid Rate

620

Opioid Claims

$13K

Opioid Cost

3.1%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,283 claims · $1.1M

Generic: 17,865 claims · $377K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban201$119K
Semaglutide95$98K
Empagliflozin101$80K
Adalimumab12$76K
Dulaglutide50$57K
Insulin Detemir35$37K
Dapagliflozin Propanediol58$37K
Insulin Glargine,hum.Rec.Anlog76$35K
Budesonide/Formoterol Fumarate61$34K
Insulin Aspart41$34K
Tirzepatide29$33K
Sitagliptin Phosphate40$24K
Fluticasone/Umeclidin/Vilanter28$22K
Fluticasone/Vilanterol48$21K
Rsv Vacc, Pref A And Pref B/Pf61$20K

Prescribing Profile

212

Unique Drugs

$306K

IRA Negotiated Drugs

$204K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

76

Avg Age

74%

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