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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 →

Tyler BirchD.O.

Internal Medicine · Meridian, ID 83642

NPI: 1003278730

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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

10,898

Total Claims

$1.4M

Drug Cost

833

Beneficiaries

$1,668

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. 110,156 Internal Medicine providers

+85%

Opioid rate vs peers

4.1% vs 2.2% avg

+18%

Cost per patient vs peers

$1,668 vs $1,411 avg

+41%

Brand preference vs peers

15.0% 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.

Opioid Prescribing

4.1%

Opioid Rate

451

Opioid Claims

$28K

Opioid Cost

12.0%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,617 claims · $1.1M

Generic: 9,182 claims · $236K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban238$272K
Empagliflozin117$178K
Dulaglutide91$139K
Semaglutide74$96K
Tirzepatide23$35K
Rivaroxaban23$31K
Insulin Glargine,hum.Rec.Anlog44$28K
Insulin Glargine,hum.Rec.Anlog26$27K
Insulin Aspart36$22K
Insulin Aspart21$13K
Fluticasone/Vilanterol26$11K
Oxycodone Hcl13$11K
Atorvastatin Calcium647$10K
Fluticasone Propion/Salmeterol13$10K
Hydrocodone Bitartrate11$9,885

Prescribing Profile

144

Unique Drugs

$516K

IRA Negotiated Drugs

$270K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

75

Avg Age

65%

Female

1.37

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