⚠️

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 →

Dustin SmithMD

Emergency Medicine · Clarion, IA 50525

NPI: 1134191018

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33

🟠 Elevated

Risk Flags

High long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

24,421

Total Claims

$1.8M

Drug Cost

806

Beneficiaries

$2,294

Cost/Patient

Risk Score Breakdown 33/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 44,021 Emergency Medicine providers

-79%

Opioid rate vs peers

2.0% vs 9.4% avg

+806%

Brand preference vs peers

13.4% vs 1.5% 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

2.0%

Opioid Rate

493

Opioid Claims

$9,310

Opioid Cost

13.0%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 3,258 claims · $1.3M

Generic: 20,973 claims · $502K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide218$192K
Empagliflozin232$160K
Apixaban337$146K
Semaglutide50$61K
Fluticasone/Umeclidin/Vilanter58$50K
Mirabegron163$49K
Budesonide/Formoterol Fumarate103$48K
Sitagliptin Phosphate84$38K
Insulin Glargine,hum.Rec.Anlog103$36K
Insulin Degludec37$36K
Insulin Aspart48$34K
Rivaroxaban74$34K
Epinephrine38$29K
Fluticasone/Vilanterol67$29K
Insulin Glargine,hum.Rec.Anlog43$25K

Prescribing Profile

225

Unique Drugs

$433K

IRA Negotiated Drugs

$278K

GLP-1 Drugs

33.0

Anomaly Score

Patient Profile

73

Avg Age

52%

Female

1.39

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