⚠️

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 →

Jenifer ZhaiMD

Neurology · Springfield, MO 65804

NPI: 1144388745

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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

8,926

Total Claims

$4.0M

Drug Cost

988

Beneficiaries

$4,071

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. 13,194 Neurology providers

+138%

Opioid rate vs peers

3.1% vs 1.3% avg

+1%

Cost per patient vs peers

$4,071 vs $4,034 avg

+9%

Brand preference vs peers

10.2% vs 9.4% 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

3.1%

Opioid Rate

278

Opioid Claims

$6,117

Opioid Cost

8.6%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 907 claims · $3.2M

Generic: 7,956 claims · $772K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Teriflunomide62$619K
Omaveloxolone21$605K
Dimethyl Fumarate32$314K
Glatiramer Acetate29$200K
Fingolimod Hcl15$194K
Interferon Beta-1b17$170K
Teriflunomide38$166K
Erenumab-Aooe174$163K
Glatiramer Acetate32$84K
Lacosamide381$82K
Fingolimod Hcl39$75K
Brivaracetam36$63K
Galcanezumab-Gnlm58$59K
Cannabidiol (Cbd)13$55K
Lacosamide35$53K

Prescribing Profile

92

Unique Drugs

$9,910

IRA Negotiated Drugs

15.0

Anomaly Score

Patient Profile

67

Avg Age

56%

Female

1.57

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