⚠️

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 David SenoMD

Physical Medicine and Rehabilitation · Temple, TX 76508

NPI: 1003178146

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8

🟢 Low

🤖 ML Fraud Detection Score: 94%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

1,064

Total Claims

$43K

Drug Cost

324

Beneficiaries

$133

Cost/Patient

Risk Score Breakdown 8/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers

-54%

Opioid rate vs peers

9.3% vs 20.2% avg

-71%

Cost per patient vs peers

$133 vs $455 avg

-25%

Brand preference vs peers

2.3% vs 3.1% 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

🤖

ML fraud detection score of 94% indicates prescribing patterns with significant similarity to confirmed fraud cases. 19 out of 20 decision trees flagged this provider.

⚠️

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

9.3%

Opioid Rate

99

Opioid Claims

$2,670

Opioid Cost

Long-Acting Rate

Brand vs Generic

98% generic

Brand: 25 claims · $14K

Generic: 1,039 claims · $29K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Milnacipran Hcl23$14K
Gabapentin189$7,388
Pregabalin162$4,959
Duloxetine Hcl172$4,505
Amitriptyline Hcl48$1,807
Celecoxib37$1,273
Hydrocodone/Acetaminophen54$822
Venlafaxine Hcl32$686
Tizanidine Hcl60$626
Diclofenac Sodium15$620
Doxepin Hcl14$586
Meloxicam78$484
Nortriptyline Hcl23$332
Methocarbamol19$197
Acetaminophen With Codeine12$126

Prescribing Profile

19

Unique Drugs

8.0

Anomaly Score

Patient Profile

71

Avg Age

67%

Female

1.43

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