⚠️

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 →

Shannon ZamboniMD

Family Practice · Reno, NV 89503

NPI: 1023005303

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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

9,890

Total Claims

$881K

Drug Cost

792

Beneficiaries

$1,112

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. 106,889 Family Practice providers

+45%

Opioid rate vs peers

3.8% vs 2.6% avg

+4%

Cost per patient vs peers

$1,112 vs $1,068 avg

-2%

Brand preference vs peers

8.8% 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.

🔎 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

3.8%

Opioid Rate

371

Opioid Claims

$5,526

Opioid Cost

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 866 claims · $716K

Generic: 8,992 claims · $161K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Tasimelteon14$345K
Apixaban70$73K
Semaglutide45$51K
Dulaglutide17$30K
Rivaroxaban15$19K
Budesonide/Formoterol Fumarate27$16K
Fluticasone/Umeclidin/Vilanter16$13K
Mirabegron23$13K
Fluticasone/Vilanterol20$12K
Varicella-Zoster Ge/As01b/Pf45$8,911
Levothyroxine Sodium543$7,996
Levothyroxine Sodium67$7,303
Albuterol Sulfate162$6,547
Atorvastatin Calcium426$5,908
Losartan Potassium367$4,788

Prescribing Profile

132

Unique Drugs

$92K

IRA Negotiated Drugs

$81K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

73

Avg Age

68%

Female

1.08

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