⚠️

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 →

Rachael Vanden LangenbergD.O.

Family Practice · Green Bay, WI 54311

NPI: 1003127465

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,561

Total Claims

$943K

Drug Cost

706

Beneficiaries

$1,336

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-83%

Opioid rate vs peers

0.4% vs 2.6% avg

+25%

Cost per patient vs peers

$1,336 vs $1,068 avg

+41%

Brand preference vs peers

12.6% vs 9.0% 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

46

Opioid Claims

$381

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,317 claims · $757K

Generic: 9,099 claims · $177K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide65$88K
Insulin Glargine,hum.Rec.Anlog119$85K
Apixaban89$74K
Sitagliptin Phosphate48$54K
Semaglutide26$44K
Rivaroxaban48$42K
Empagliflozin25$40K
Dapagliflozin Propanediol23$24K
Insulin Aspart30$23K
Insulin Glargine/Lixisenatide11$14K
Fluticasone Propion/Salmeterol25$13K
Insulin Glargine,hum.Rec.Anlog12$13K
Tiotropium Bromide23$13K
Budesonide/Formoterol Fumarate25$13K
Linagliptin11$11K

Prescribing Profile

137

Unique Drugs

$257K

IRA Negotiated Drugs

$132K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

72

Avg Age

72%

Female

1.10

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.Methodology · About