⚠️

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 →

Nancy BirnerMD

Pediatric Medicine · Saint Louis, MO 63128

NPI: 1043214778

Share:

9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,538

Total Claims

$894K

Drug Cost

795

Beneficiaries

$1,124

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 2,743 Pediatric Medicine providers

+129%

Opioid rate vs peers

3.6% vs 1.6% avg

-46%

Cost per patient vs peers

$1,124 vs $2,098 avg

-32%

Brand preference vs peers

10.2% vs 15.1% 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

3.6%

Opioid Rate

384

Opioid Claims

$7,237

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,064 claims · $687K

Generic: 9,391 claims · $201K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban98$129K
Empagliflozin65$74K
Sitagliptin Phosphate45$63K
Semaglutide27$37K
Semaglutide14$30K
Rivaroxaban27$25K
Insulin Glargine,hum.Rec.Anlog32$23K
Fluticasone/Umeclidin/Vilanter12$16K
Dapagliflozin Propanediol11$16K
Budesonide/Formoterol Fumarate23$16K
Tirzepatide14$15K
Fluticasone/Vilanterol20$10K
Mirabegron19$10K
Insulin Degludec12$9,945
Rosuvastatin Calcium520$8,912

Prescribing Profile

152

Unique Drugs

$308K

IRA Negotiated Drugs

$81K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

74

Avg Age

66%

Female

1.32

Avg Risk Score

Explore More

Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About