⚠️

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 DanielM.D.

Internal Medicine · Richmond, VA 23230

NPI: 1427007996

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18

🟡 Moderate

Risk Flags

Extreme brand-name preferenceOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

30,508

Total Claims

$7.4M

Drug Cost

20,611

Beneficiaries

$360

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Brand-name preference+8
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-95%

Opioid rate vs peers

0.1% vs 2.2% avg

-75%

Cost per patient vs peers

$360 vs $1,411 avg

+716%

Brand preference vs peers

86.8% vs 10.6% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

⚠️ 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

0.1%

Opioid Rate

37

Opioid Claims

$515

Opioid Cost

Long-Acting Rate

Brand vs Generic

13% generic

Brand: 26,442 claims · $7.3M

Generic: 4,028 claims · $83K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rsv Vacc, Pref A And Pref B/Pf14,256$4.8M
Varicella-Zoster Ge/As01b/Pf9,515$2.1M
Diphth,pertuss(Acell),tet Vac1,738$115K
Apixaban45$59K
Empagliflozin26$32K
Hepatitis A And B Vaccine/Pf174$26K
Sitagliptin Phosphate16$24K
Dulaglutide15$19K
Semaglutide12$18K
Hepatitis A Virus Vaccine/Pf144$15K
Diph,pertuss(Acell),tet Vac/Pf104$7,271
Colesevelam Hcl20$6,923
Pitavastatin Calcium11$6,882
Insulin Glargine,hum.Rec.Anlog12$4,841
Yellow Fever Vaccine Live/Pf22$4,512

Prescribing Profile

100

Unique Drugs

$116K

IRA Negotiated Drugs

$37K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

74

Avg Age

56%

Female

0.94

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