⚠️

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 →

Mari CastelloM.D.

General Practice · Spring Hill, FL 34609

NPI: 1427291517

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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

20,963

Total Claims

$1.5M

Drug Cost

1,080

Beneficiaries

$1,391

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. 7,389 General Practice providers

-30%

Opioid rate vs peers

1.7% vs 2.5% avg

+23%

Cost per patient vs peers

$1,391 vs $1,128 avg

+29%

Brand preference vs peers

10.8% vs 8.4% 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

1.7%

Opioid Rate

363

Opioid Claims

$6,539

Opioid Cost

4.7%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,253 claims · $1.1M

Generic: 18,544 claims · $391K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide97$126K
Apixaban75$111K
Fluticasone/Umeclidin/Vilanter101$98K
Fluticasone/Vilanterol124$83K
Sitagliptin Phosphate75$81K
Empagliflozin64$77K
Insulin Glargine,hum.Rec.Anlog65$46K
Insulin Aspart33$39K
Dulaglutide26$36K
Dapagliflozin Propanediol24$35K
Budesonide/Formoterol Fumarate55$31K
Fluticasone Propion/Salmeterol55$26K
Insulin Detemir31$25K
Albuterol Sulfate575$22K
Fluticasone Propion/Salmeterol57$18K

Prescribing Profile

176

Unique Drugs

$343K

IRA Negotiated Drugs

$162K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

71

Avg Age

62%

Female

1.59

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