⚠️

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 →

Rick GeierMD

General Practice · Carrington, ND 58421

NPI: 1063499804

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17

🟡 Moderate

Risk Flags

Elevated long-acting opioid rateOpioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

14,178

Total Claims

$1.0M

Drug Cost

652

Beneficiaries

$1,596

Cost/Patient

Risk Score Breakdown 17/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 7,389 General Practice providers

+8%

Opioid rate vs peers

2.7% vs 2.5% avg

+41%

Cost per patient vs peers

$1,596 vs $1,128 avg

+19%

Brand preference vs peers

10.0% vs 8.4% 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

2.7%

Opioid Rate

380

Opioid Claims

$14K

Opioid Cost

10.8%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,414 claims · $719K

Generic: 12,689 claims · $316K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban264$194K
Semaglutide51$57K
Sitagliptin Phosphate84$54K
Insulin Detemir52$44K
Insulin Glargine,hum.Rec.Anlog79$40K
Rivaroxaban31$36K
Insulin Glargine,hum.Rec.Anlog44$23K
Insulin Aspart24$23K
Gabapentin12$19K
Metoprolol Succinate604$18K
Rosuvastatin Calcium781$18K
Budesonide/Formoterol Fumarate44$18K
Tirzepatide15$17K
Semaglutide13$16K
Estradiol301$13K

Prescribing Profile

156

Unique Drugs

$320K

IRA Negotiated Drugs

$90K

GLP-1 Drugs

17.0

Anomaly Score

Patient Profile

75

Avg Age

54%

Female

0.87

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