⚠️

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 →

Anthony SimsM.D.

Family Practice · Henagar, AL 35978

NPI: 1992786636

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15

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

24,303

Total Claims

$2.2M

Drug Cost

1,204

Beneficiaries

$1,836

Cost/Patient

Risk Score Breakdown 15/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+207%

Opioid rate vs peers

7.9% vs 2.6% avg

+72%

Cost per patient vs peers

$1,836 vs $1,068 avg

+25%

Brand preference vs peers

11.2% vs 9.0% avg

🔎 Data Overview

💊

Opioid rate is 207% above Family Practice peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

7.9%

Opioid Rate

1,924

Opioid Claims

$65K

Opioid Cost

3.5%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,714 claims · $1.7M

Generic: 21,419 claims · $533K

Patient Profile

72

Avg Age

58%

Female

1.12

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