⚠️

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 →

Kari GalyenMD

Family Practice · Norfolk, NE 68701

NPI: 1134112832

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

11,395

Total Claims

$1.1M

Drug Cost

786

Beneficiaries

$1,370

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+25%

Opioid rate vs peers

3.2% vs 2.6% avg

+28%

Cost per patient vs peers

$1,370 vs $1,068 avg

+65%

Brand preference vs peers

14.8% vs 9.0% 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

3.2%

Opioid Rate

367

Opioid Claims

$12K

Opioid Cost

3.5%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,675 claims · $873K

Generic: 9,636 claims · $199K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban240$139K
Tirzepatide55$77K
Mirabegron123$69K
Dulaglutide49$52K
Empagliflozin36$49K
Semaglutide29$44K
Linagliptin59$38K
Semaglutide12$33K
Fluticasone/Umeclidin/Vilanter36$25K
Insulin Glargine,hum.Rec.Anlog37$21K
Budesonide/Formoterol Fumarate40$20K
Insulin Aspart16$19K
Rivaroxaban27$18K
Atogepant16$18K
Varicella-Zoster Ge/As01b/Pf72$15K

Prescribing Profile

158

Unique Drugs

$247K

IRA Negotiated Drugs

$205K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

72

Avg Age

62%

Female

0.93

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