⚠️

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 →

Ryan BuffaloM.D.

Family Practice · Heber Springs, AR 72543

NPI: 1356330666

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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

19,644

Total Claims

$1.6M

Drug Cost

1,108

Beneficiaries

$1,421

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. 106,889 Family Practice providers

+62%

Opioid rate vs peers

4.2% vs 2.6% avg

+33%

Cost per patient vs peers

$1,421 vs $1,068 avg

+13%

Brand preference vs peers

10.1% 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

4.2%

Opioid Rate

820

Opioid Claims

$16K

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,973 claims · $1.2M

Generic: 17,488 claims · $406K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Fluticasone/Umeclidin/Vilanter188$188K
Apixaban137$114K
Semaglutide90$105K
Insulin Glargine,hum.Rec.Anlog126$92K
Empagliflozin52$65K
Mirabegron62$42K
Insulin Detemir67$40K
Budesonide/Formoterol Fumarate63$35K
Linaclotide32$28K
Rivaroxaban19$25K
Insulin Degludec26$23K
Dulaglutide13$23K
Sitagliptin Phosphate22$23K
Brexpiprazole13$21K
Tirzepatide17$21K

Prescribing Profile

197

Unique Drugs

$244K

IRA Negotiated Drugs

$149K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

71

Avg Age

58%

Female

1.05

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