⚠️

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 HoelscherMD

Internal Medicine · Alton, IL 62002

NPI: 1447267810

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

24,355

Total Claims

$1.6M

Drug Cost

1,165

Beneficiaries

$1,365

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+158%

Opioid rate vs peers

5.8% vs 2.2% avg

-3%

Cost per patient vs peers

$1,365 vs $1,411 avg

-17%

Brand preference vs peers

8.8% 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

5.8%

Opioid Rate

1,408

Opioid Claims

$29K

Opioid Cost

4.3%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 2,121 claims · $1.1M

Generic: 22,051 claims · $457K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban320$310K
Empagliflozin76$90K
Semaglutide70$74K
Dapagliflozin Propanediol62$54K
Dulaglutide29$37K
Rivaroxaban30$34K
Insulin Glargine,hum.Rec.Anlog50$32K
Mirabegron45$32K
Sacubitril/Valsartan29$30K
Fluticasone/Umeclidin/Vilanter27$29K
Linaclotide36$23K
Umeclidinium Brm/Vilanterol Tr33$21K
Insulin Glargine,hum.Rec.Anlog34$20K
Sitagliptin Phosphate14$19K
Atorvastatin Calcium1,267$18K

Prescribing Profile

211

Unique Drugs

$551K

IRA Negotiated Drugs

$111K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

75

Avg Age

58%

Female

1.20

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