⚠️

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 →

Bruce ManleyPA-C

Physician Assistant · Portland, ME 4102

NPI: 1124114525

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24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

9,364

Total Claims

$627K

Drug Cost

471

Beneficiaries

$1,332

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

-75%

Opioid rate vs peers

2.3% vs 9.2% avg

+85%

Cost per patient vs peers

$1,332 vs $719 avg

+133%

Brand preference vs peers

15.5% 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

2.3%

Opioid Rate

217

Opioid Claims

$4,848

Opioid Cost

6.9%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,434 claims · $424K

Generic: 7,816 claims · $196K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban202$106K
Mirabegron103$38K
Rivaroxaban55$32K
Empagliflozin41$21K
Aripiprazole43$15K
Fluticasone/Umeclidin/Vilanter22$15K
Dulaglutide40$14K
Insulin Glargine,hum.Rec.Anlog22$12K
Umeclidinium Bromide33$12K
Tiotropium Bromide21$11K
Sitagliptin Phosphate20$10K
Budesonide/Glycopyr/Formoterol14$9,046
Potassium Chloride120$8,741
Budesonide/Formoterol Fumarate17$6,941
Gabapentin284$6,816

Prescribing Profile

135

Unique Drugs

$169K

IRA Negotiated Drugs

$14K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

81

Avg Age

67%

Female

2.15

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