⚠️

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 →

Charlotte SpanglerPA-C

Physician Assistant · Raleigh, NC 27609

NPI: 1003151820

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11

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriberLow drug diversity

Risk indicators are statistical patterns, not allegations. Learn more

241

Total Claims

$7,604

Drug Cost

101

Beneficiaries

$75

Cost/Patient

Risk Score Breakdown 11/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Low drug diversity+3

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

+221%

Opioid rate vs peers

29.5% vs 9.2% avg

-90%

Cost per patient vs peers

$75 vs $719 avg

-13%

Brand preference vs peers

5.8% vs 6.7% 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

💊

Opioid rate is 221% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

⚠️

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.

📊

Prescribes only 10 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.

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

Opioid Prescribing

29.5%

Opioid Rate

71

Opioid Claims

$541

Opioid Cost

Long-Acting Rate

This provider's opioid prescribing rate of 29.5% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

94% generic

Brand: 14 claims · $5,032

Generic: 227 claims · $2,572

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Ticagrelor11$4,974
Clopidogrel Bisulfate23$255
Methocarbamol29$230
Gabapentin22$223
Hydrocodone/Acetaminophen22$215
Diclofenac Sodium13$205
Oxycodone Hcl/Acetaminophen14$145
Oxycodone Hcl18$118
Tramadol Hcl15$46
Diazepam15$11

Prescribing Profile

10

Unique Drugs

11.0

Anomaly Score

Patient Profile

71

Avg Age

63%

Female

1.64

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