⚠️

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 →

Mark JohnsonMD

Endocrinology · Mason City, IA 50401

NPI: 1013923127

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25

🟡 Moderate

Risk Flags

High cost outlier (population + peer)High long-acting opioid rate vs peersOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,127

Total Claims

$6.2M

Drug Cost

716

Beneficiaries

$8,721

Cost/Patient

Risk Score Breakdown 25/100

Low (0)Moderate (15)Elevated (30)High (50+)
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8
Cost per patient outlier+6

Score components are additive. Read full methodology

Peer Comparison vs. 6,382 Endocrinology providers

+122%

Cost per patient vs peers

$8,721 vs $3,933 avg

+41%

Brand preference vs peers

71.9% vs 51.2% 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

0.3%

Opioid Rate

27

Opioid Claims

$6,616

Opioid Cost

74.1%

Long-Acting Rate

Brand vs Generic

28% generic

Brand: 6,707 claims · $6.1M

Generic: 2,620 claims · $56K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide1,116$1.3M
Insulin Aspart627$621K
Empagliflozin705$600K
Dulaglutide427$569K
Insulin Glargine/Lixisenatide362$362K
Empagliflozin/Metformin Hcl338$308K
Dapagliflozin Propanediol360$305K
Insulin Lispro274$260K
Insulin Glargine,hum.Rec.Anlog315$173K
Liraglutide91$139K
Insulin Detemir200$122K
Insulin Aspart Prot/Insuln Asp158$121K
Dapaglifloz Propaned/Metformin135$98K
Exenatide Microspheres98$87K
Insulin Lispro47$77K

Prescribing Profile

70

Unique Drugs

$1.6M

IRA Negotiated Drugs

$2.2M

GLP-1 Drugs

25.0

Anomaly Score

Patient Profile

71

Avg Age

49%

Female

1.70

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