⚠️

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 →

Juan LombeidaMD

Hospice and Palliative Care · Fayetteville, AR 72703

NPI: 1043434202

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32

🟠 Elevated

Risk Flags

95th percentile opioid prescribingHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

5,956

Total Claims

$489K

Drug Cost

484

Beneficiaries

$1,011

Cost/Patient

Risk Score Breakdown 32/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+10
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 1,080 Hospice and Palliative Care providers

+43%

Opioid rate vs peers

47.3% vs 33.2% avg

+65%

Cost per patient vs peers

$1,011 vs $611 avg

+9%

Brand preference vs peers

7.4% 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

47.3%

Opioid Rate

2,820

Opioid Claims

$312K

Opioid Cost

39.4%

Long-Acting Rate

This provider's opioid prescribing rate of 47.3% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

93% generic

Brand: 438 claims · $290K

Generic: 5,518 claims · $199K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Myristate111$115K
Buprenorphine Hcl59$42K
Oxycodone Hcl919$24K
Buprenorphine Hcl/Naloxone Hcl60$24K
Fentanyl235$24K
Oxycodone Hcl35$22K
Hydrocodone Bitartrate26$19K
Lipase/Protease/Amylase15$18K
Linaclotide19$15K
Hydrocodone Bitartrate19$9,371
Oxycodone Hcl/Acetaminophen227$8,978
Buprenorphine35$8,869
Hydrocodone/Acetaminophen238$8,494
Naloxegol Oxalate18$8,478
Morphine Sulfate170$7,830

Prescribing Profile

64

Unique Drugs

32.0

Anomaly Score

Patient Profile

67

Avg Age

60%

Female

2.96

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