⚠️

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 →

Karen NiehausM.D.

Internal Medicine · Lincoln City, OR 97367

NPI: 1003983776

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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

9,774

Total Claims

$739K

Drug Cost

622

Beneficiaries

$1,189

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

+30%

Opioid rate vs peers

2.9% vs 2.2% avg

-16%

Cost per patient vs peers

$1,189 vs $1,411 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

2.9%

Opioid Rate

285

Opioid Claims

$4,865

Opioid Cost

10.2%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,033 claims · $513K

Generic: 8,679 claims · $222K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban135$141K
Semaglutide28$47K
Empagliflozin23$31K
Fluticasone/Vilanterol47$30K
Tiotropium Bromide18$18K
Tiotropium Bromide12$17K
Fluticasone Propion/Salmeterol24$15K
Fluticasone/Umeclidin/Vilanter20$13K
Metoprolol Succinate517$12K
Insulin Glargine,hum.Rec.Anlog38$12K
Insulin Glargine,hum.Rec.Anlog26$12K
Insulin Detemir14$11K
Mirabegron16$11K
Losartan Potassium586$9,881
Insulin Glargine,hum.Rec.Anlog15$8,992

Prescribing Profile

123

Unique Drugs

$172K

IRA Negotiated Drugs

$47K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

74

Avg Age

67%

Female

1.05

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