⚠️

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 MarsellaMD

Anesthesiology · Montgomery, AL 36117

NPI: 1326027236

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21

🟡 Moderate

Risk Flags

95th percentile opioid prescribingOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

6,402

Total Claims

$364K

Drug Cost

528

Beneficiaries

$689

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 3,186 Anesthesiology providers

+79%

Opioid rate vs peers

62.3% vs 34.8% avg

+63%

Cost per patient vs peers

$689 vs $422 avg

-3%

Brand preference vs peers

4.6% vs 4.7% 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

⚠️

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

62.3%

Opioid Rate

3,986

Opioid Claims

$283K

Opioid Cost

18.3%

Long-Acting Rate

This provider's opioid prescribing rate of 62.3% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

95% generic

Brand: 295 claims · $160K

Generic: 6,107 claims · $204K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Myristate35$70K
Oxycodone Hcl53$57K
Hydrocodone/Acetaminophen1,348$42K
Oxycodone Hcl/Acetaminophen966$39K
Fentanyl235$28K
Naloxone Hcl180$16K
Gabapentin593$13K
Oxycodone Hcl376$11K
Morphine Sulfate202$9,876
Pregabalin299$8,467
Buprenorphine22$7,772
Lidocaine42$5,235
Morphine Sulfate138$4,763
Methadone Hcl182$4,567
Tizanidine Hcl332$4,553

Prescribing Profile

31

Unique Drugs

21.0

Anomaly Score

Patient Profile

65

Avg Age

62%

Female

1.76

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