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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 →

John CasconeM.D.

Internal Medicine · Columbia, MO 65203

NPI: 1013911999

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26

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberextreme_fills_per_patient

Risk indicators are statistical patterns, not allegations. Learn more

26,384

Total Claims

$1.5M

Drug Cost

523

Beneficiaries

$2,839

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+44%

Opioid rate vs peers

3.2% vs 2.2% avg

+101%

Cost per patient vs peers

$2,839 vs $1,411 avg

+49%

Brand preference vs peers

15.9% 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.

Opioid Prescribing

3.2%

Opioid Rate

851

Opioid Claims

$19K

Opioid Cost

8.6%

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 4,151 claims · $1.0M

Generic: 22,017 claims · $463K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban828$227K
Mirabegron197$48K
Dextromethorphan Hbr/Quinidine59$43K
Rivaroxaban153$41K
Cariprazine Hcl58$40K
Sitagliptin Phosphate117$32K
Insulin Aspart57$31K
Fluticasone/Umeclidin/Vilanter44$29K
Dulaglutide25$24K
Collagenase Clostridium Hist.33$24K
Lipase/Protease/Amylase40$23K
Insulin Glargine,hum.Rec.Anlog67$22K
Memantine Hcl402$22K
Empagliflozin70$21K
Potassium Chloride925$21K

Prescribing Profile

217

Unique Drugs

$399K

IRA Negotiated Drugs

$24K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

80

Avg Age

70%

Female

2.47

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