⚠️

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 →

Francisco ChanM.D.

Gastroenterology · Chehalis, WA 98532

NPI: 1124217716

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49

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

17,306

Total Claims

$657K

Drug Cost

1,711

Beneficiaries

$384

Cost/Patient

Risk Score Breakdown 49/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 13,928 Gastroenterology providers

-80%

Cost per patient vs peers

$384 vs $1,956 avg

-36%

Brand preference vs peers

9.2% vs 14.4% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

⚠️ 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

7.5%

Opioid Rate

1,295

Opioid Claims

$23K

Opioid Cost

9.7%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 1,566 claims · $375K

Generic: 15,501 claims · $277K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dabigatran Etexilate Mesylate265$62K
Tiotropium Bromide74$53K
Apixaban46$41K
Insulin Nph Human Isophane141$29K
Rivaroxaban44$29K
Fluticasone Propion/Salmeterol123$28K
Empagliflozin53$23K
Atorvastatin Calcium1,479$20K
Ciclesonide124$15K
Insulin Regular, Human64$10K
Potassium Chloride326$9,968
Levothyroxine Sodium477$9,705
Losartan Potassium820$9,670
Hydrocodone/Acetaminophen538$9,140
Gabapentin360$8,756

Prescribing Profile

140

Unique Drugs

$93K

IRA Negotiated Drugs

49.0

Anomaly Score

Patient Profile

74

Avg Age

51%

Female

1.24

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