⚠️

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 →

John BrazillM.D.

Anesthesiology · Bakersfield, CA 93301

NPI: 1144238429

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21

🟡 Moderate

Risk Flags

95th percentile opioid prescribingOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

12,212

Total Claims

$573K

Drug Cost

980

Beneficiaries

$585

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 3,186 Anesthesiology providers

+83%

Opioid rate vs peers

63.6% vs 34.8% avg

+39%

Cost per patient vs peers

$585 vs $422 avg

-23%

Brand preference vs peers

3.6% vs 4.7% 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

63.6%

Opioid Rate

7,763

Opioid Claims

$399K

Opioid Cost

20.7%

Long-Acting Rate

This provider's opioid prescribing rate of 63.6% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

96% generic

Brand: 445 claims · $161K

Generic: 11,767 claims · $412K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Hydrocodone/Acetaminophen2,997$116K
Oxycodone Hcl144$88K
Oxycodone Hcl/Acetaminophen1,165$61K
Oxycodone Hcl972$32K
Morphine Sulfate1,106$32K
Lidocaine69$24K
Pregabalin462$19K
Fentanyl209$18K
Gabapentin849$16K
Diclofenac Sodium202$15K
Oxycodone Myristate19$13K
Celecoxib252$9,826
Tizanidine Hcl526$9,607
Hydromorphone Hcl361$8,514
Carisoprodol437$6,919

Prescribing Profile

40

Unique Drugs

21.0

Anomaly Score

Patient Profile

70

Avg Age

65%

Female

1.61

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