⚠️

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 →

Sheila HolcombM.D.

Family Practice · Le Mars, IA 51031

NPI: 1043206089

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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

8,864

Total Claims

$682K

Drug Cost

280

Beneficiaries

$2,437

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. 106,889 Family Practice providers

-16%

Opioid rate vs peers

2.2% vs 2.6% avg

+128%

Cost per patient vs peers

$2,437 vs $1,068 avg

+65%

Brand preference vs peers

14.8% 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

2.2%

Opioid Rate

193

Opioid Claims

$2,159

Opioid Cost

6.2%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,308 claims · $560K

Generic: 7,508 claims · $118K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Valbenazine Tosylate25$98K
Apixaban157$94K
Semaglutide40$44K
Dulaglutide42$41K
Semaglutide24$28K
Mirabegron115$24K
Sitagliptin Phosphate29$21K
Dextromethorphan Hbr/Quinidine27$20K
Insulin Detemir30$19K
Cariprazine Hcl27$18K
Fluticasone Propion/Salmeterol25$11K
Insulin Aspart20$11K
Insulin Degludec23$11K
Linaclotide19$10K
Tiotropium Bromide17$9,239

Prescribing Profile

130

Unique Drugs

$135K

IRA Negotiated Drugs

$113K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

75

Avg Age

79%

Female

1.22

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