⚠️

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 →

Kurt PieningM.D.

Internal Medicine · Saint Charles, MO 63303

NPI: 1356349609

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

20,532

Total Claims

$1.3M

Drug Cost

1,384

Beneficiaries

$904

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+58%

Opioid rate vs peers

3.5% vs 2.2% avg

-36%

Cost per patient vs peers

$904 vs $1,411 avg

-12%

Brand preference vs peers

9.3% 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

3.5%

Opioid Rate

725

Opioid Claims

$22K

Opioid Cost

8.1%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 1,902 claims · $942K

Generic: 18,494 claims · $305K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban303$217K
Rivaroxaban69$76K
Semaglutide46$52K
Insulin Glargine,hum.Rec.Anlog48$48K
Rsvpref3 Antigen/As01e/Pf145$46K
Budesonide/Formoterol Fumarate67$38K
Sitagliptin Phosphate32$38K
Insulin Detemir23$37K
Empagliflozin39$29K
Dulaglutide12$28K
Empagliflozin/Linagliptin21$23K
Mirabegron31$21K
Vibegron26$21K
Dapagliflozin Propanediol21$18K
Tirzepatide12$16K

Prescribing Profile

198

Unique Drugs

$377K

IRA Negotiated Drugs

$109K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

77

Avg Age

56%

Female

1.09

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