⚠️

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 →

Andrew GilbertMD

Family Practice · Helena, MT 59601

NPI: 1043269897

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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

9,669

Total Claims

$793K

Drug Cost

605

Beneficiaries

$1,311

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

+32%

Opioid rate vs peers

3.4% vs 2.6% avg

+23%

Cost per patient vs peers

$1,311 vs $1,068 avg

-1%

Brand preference vs peers

8.9% 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

3.4%

Opioid Rate

329

Opioid Claims

$6,735

Opioid Cost

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 853 claims · $632K

Generic: 8,750 claims · $158K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban116$139K
Dulaglutide77$95K
Rivaroxaban32$47K
Insulin Glargine,hum.Rec.Anlog35$45K
Budesonide/Formoterol Fumarate42$33K
Empagliflozin22$32K
Semaglutide31$31K
Tiotropium Bromide29$29K
Fluticasone/Umeclidin/Vilanter16$17K
Tiotropium Bromide13$14K
Liraglutide11$12K
Atorvastatin Calcium796$9,896
Mirabegron34$9,700
Fluticasone Propion/Salmeterol11$6,369
Levothyroxine Sodium423$5,487

Prescribing Profile

125

Unique Drugs

$218K

IRA Negotiated Drugs

$138K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

75

Avg Age

37%

Female

0.85

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