⚠️

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 →

Douglas OneillMD

Internal Medicine · North Adams, MA 1247

NPI: 1003893082

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

12,084

Total Claims

$1.3M

Drug Cost

862

Beneficiaries

$1,548

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-3%

Opioid rate vs peers

2.2% vs 2.2% avg

+10%

Cost per patient vs peers

$1,548 vs $1,411 avg

+31%

Brand preference vs peers

13.9% 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.

🔎 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

2.2%

Opioid Rate

262

Opioid Claims

$2,979

Opioid Cost

4.2%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,666 claims · $1.1M

Generic: 10,316 claims · $234K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide275$313K
Apixaban140$146K
Empagliflozin103$110K
Rivaroxaban39$56K
Semaglutide33$38K
Fluticasone/Umeclidin/Vilanter27$26K
Fluticasone Propion/Salmeterol42$23K
Semaglutide12$19K
Rosuvastatin Calcium345$19K
Dapagliflozin Propanediol16$19K
Insulin Glargine,hum.Rec.Anlog23$18K
Tiotropium Bromide19$17K
Budesonide/Formoterol Fumarate28$15K
Insulin Detemir22$15K
Insulin Glargine,hum.Rec.Anlog40$15K

Prescribing Profile

142

Unique Drugs

$331K

IRA Negotiated Drugs

$371K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

61%

Female

1.06

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