⚠️

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 →

Michael FesteneseP.A.C.

Physician Assistant · Las Vegas, NV 89128

NPI: 1043217581

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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

9,317

Total Claims

$711K

Drug Cost

814

Beneficiaries

$874

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. 109,535 Physician Assistant providers

-86%

Opioid rate vs peers

1.3% vs 9.2% avg

+22%

Cost per patient vs peers

$874 vs $719 avg

+42%

Brand preference vs peers

9.4% vs 6.7% 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

1.3%

Opioid Rate

120

Opioid Claims

$707

Opioid Cost

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 871 claims · $604K

Generic: 8,382 claims · $104K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rivaroxaban84$119K
Apixaban69$82K
Rifaximin11$36K
Tiotropium Br/Olodaterol Hcl38$35K
Fluticasone/Umeclidin/Vilanter20$32K
Budesonide/Glycopyr/Formoterol27$32K
Dulaglutide13$25K
Tiotropium Bromide35$25K
Linaclotide15$20K
Semaglutide14$16K
Mirabegron16$14K
Insulin Glargine,hum.Rec.Anlog17$12K
Budesonide/Formoterol Fumarate11$11K
Levothyroxine Sodium401$5,391
Atorvastatin Calcium551$4,581

Prescribing Profile

129

Unique Drugs

$201K

IRA Negotiated Drugs

$41K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

77

Avg Age

63%

Female

1.34

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