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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 →

Christopher EspanaM.D.

Family Practice · Saint Louis, MO 63128

NPI: 1003922634

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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

12,317

Total Claims

$1.0M

Drug Cost

791

Beneficiaries

$1,280

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

+60%

Opioid rate vs peers

4.1% vs 2.6% avg

+20%

Cost per patient vs peers

$1,280 vs $1,068 avg

+10%

Brand preference vs peers

9.9% 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.

Opioid Prescribing

4.1%

Opioid Rate

508

Opioid Claims

$22K

Opioid Cost

13.4%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,207 claims · $798K

Generic: 11,022 claims · $211K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban203$172K
Dulaglutide46$63K
Semaglutide47$60K
Linagliptin33$47K
Insulin Glargine,hum.Rec.Anlog30$36K
Rivaroxaban32$34K
Fluticasone/Umeclidin/Vilanter35$30K
Empagliflozin22$26K
Levothyroxine Sodium493$17K
Insulin Glargine-Yfgn33$17K
Insulin Glargine-Yfgn22$17K
Semaglutide15$16K
Fluticasone/Vilanterol36$16K
Sacubitril/Valsartan19$14K
Atorvastatin Calcium615$8,117

Prescribing Profile

148

Unique Drugs

$247K

IRA Negotiated Drugs

$140K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

77

Avg Age

53%

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