⚠️

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 →

Dennis SpanoM.D.

Family Practice · Lake City, MN 55041

NPI: 1033195656

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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

11,427

Total Claims

$1.3M

Drug Cost

809

Beneficiaries

$1,643

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. 106,889 Family Practice providers

-24%

Opioid rate vs peers

2.0% vs 2.6% avg

+54%

Cost per patient vs peers

$1,643 vs $1,068 avg

+96%

Brand preference vs peers

17.6% 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

2.0%

Opioid Rate

224

Opioid Claims

$2,976

Opioid Cost

5.8%

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 1,986 claims · $1.1M

Generic: 9,302 claims · $173K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide110$121K
Apixaban154$118K
Rivaroxaban86$66K
Semaglutide39$57K
Rsv Vacc, Pref A And Pref B/Pf174$55K
Insulin Glargine,hum.Rec.Anlog74$46K
Liraglutide26$34K
Varicella-Zoster Ge/As01b/Pf177$34K
Insulin Pump Cart,automated,bt16$32K
Dulaglutide22$31K
Rifaximin14$29K
Insulin Lispro46$28K
Insulin Glargine,hum.Rec.Anlog50$27K
Insulin Aspart23$26K
Empagliflozin17$23K

Prescribing Profile

142

Unique Drugs

$270K

IRA Negotiated Drugs

$244K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

75

Avg Age

49%

Female

1.17

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