⚠️

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 →

Daniel MegardMD

Internal Medicine · Yankton, SD 57078

NPI: 1083615975

Share:𝕏fin

21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

18,067

Total Claims

$1.2M

Drug Cost

961

Beneficiaries

$1,229

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. 110,156 Internal Medicine providers

-1%

Opioid rate vs peers

2.2% vs 2.2% avg

-13%

Cost per patient vs peers

$1,229 vs $1,411 avg

-9%

Brand preference vs peers

9.6% vs 10.6% 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.

Opioid Prescribing

2.2%

Opioid Rate

400

Opioid Claims

$14K

Opioid Cost

14.3%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,722 claims · $877K

Generic: 16,136 claims · $292K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban414$285K
Insulin Glargine,hum.Rec.Anlog77$57K
Insulin Glargine,hum.Rec.Anlog70$44K
Sitagliptin Phosphate51$36K
Insulin Aspart65$32K
Insulin Degludec21$29K
Semaglutide20$28K
Rivaroxaban57$28K
Dapagliflozin Propanediol56$27K
Tiotropium Bromide31$21K
Budesonide/Formoterol Fumarate34$16K
Dulaglutide16$16K
Tirzepatide11$14K
Atorvastatin Calcium868$13K
Potassium Chloride406$12K

Prescribing Profile

183

Unique Drugs

$419K

IRA Negotiated Drugs

$58K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

76

Avg Age

47%

Female

1.12

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