⚠️

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 →

Kim CarltonPA-C

Physician Assistant · Cottonwood, AZ 86326

NPI: 1013092543

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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

8,640

Total Claims

$978K

Drug Cost

738

Beneficiaries

$1,326

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. 109,535 Physician Assistant providers

-82%

Opioid rate vs peers

1.6% vs 9.2% avg

+84%

Cost per patient vs peers

$1,326 vs $719 avg

+87%

Brand preference vs peers

12.4% vs 6.7% 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

1.6%

Opioid Rate

140

Opioid Claims

$2,136

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,071 claims · $815K

Generic: 7,540 claims · $162K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Ibrutinib12$204K
Dulaglutide114$124K
Apixaban98$94K
Fluticasone/Umeclidin/Vilanter58$47K
Semaglutide36$40K
Rivaroxaban19$27K
Mirabegron25$26K
Exenatide Microspheres25$22K
Tirzepatide18$21K
Budesonide/Formoterol Fumarate31$19K
Fluticasone Propionate53$18K
Umeclidinium Brm/Vilanterol Tr22$15K
Ipratropium/Albuterol Sulfate14$10K
Umeclidinium Bromide22$9,734
Fluticasone Propion/Salmeterol18$7,786

Prescribing Profile

130

Unique Drugs

$332K

IRA Negotiated Drugs

$185K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

66%

Female

0.98

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