⚠️

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 →

Douglas KellingMD

Internal Medicine · Concord, NC 28025

NPI: 1396717708

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18

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

21,032

Total Claims

$3.6M

Drug Cost

966

Beneficiaries

$3,698

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-81%

Opioid rate vs peers

0.4% vs 2.2% avg

+162%

Cost per patient vs peers

$3,698 vs $1,411 avg

+77%

Brand preference vs peers

18.9% 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

0.4%

Opioid Rate

89

Opioid Claims

$773

Opioid Cost

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 3,906 claims · $3.2M

Generic: 16,804 claims · $346K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide285$356K
Apixaban426$352K
Semaglutide178$226K
Empagliflozin240$216K
Dupilumab38$144K
Fluticasone/Umeclidin/Vilanter153$143K
Rivaroxaban121$119K
Budesonide/Formoterol Fumarate205$113K
Alpha-1-Proteinase Inhibitor12$100K
Dapagliflozin Propanediol100$84K
Tirzepatide56$70K
Icosapent Ethyl132$69K
Insulin Lispro69$63K
Omalizumab28$58K
Mepolizumab13$50K

Prescribing Profile

179

Unique Drugs

$856K

IRA Negotiated Drugs

$753K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

74

Avg Age

58%

Female

1.69

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