⚠️

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 →

Lloyd VanwinkleMD

Family Practice · Castroville, TX 78009

NPI: 1306833173

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30

🟠 Elevated

Risk Flags

Extreme brand-name preferenceHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

97,553

Total Claims

$24.2M

Drug Cost

71,750

Beneficiaries

$337

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Brand-name preference+8
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-97%

Opioid rate vs peers

0.1% vs 2.6% avg

-68%

Cost per patient vs peers

$337 vs $1,068 avg

+950%

Brand preference vs peers

94.5% vs 9.0% 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

0.1%

Opioid Rate

71

Opioid Claims

$1,177

Opioid Cost

Long-Acting Rate

Brand vs Generic

6% generic

Brand: 92,135 claims · $24.1M

Generic: 5,343 claims · $99K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rsv Vacc, Pref A And Pref B/Pf47,076$15.5M
Varicella-Zoster Ge/As01b/Pf35,044$7.5M
Diphth,pertuss(Acell),tet Vac7,997$500K
Hepatitis A And B Vaccine/Pf636$89K
Sitagliptin Phosphate27$47K
Apixaban46$40K
Semaglutide31$40K
Insulin Glargine,hum.Rec.Anlog57$39K
Lamotrigine12$31K
Insulin Aspart27$23K
Levetiracetam13$21K
Mirabegron35$20K
Empagliflozin18$18K
Rivaroxaban11$18K
Hpv Vaccine 9-Valent/Pf57$17K

Prescribing Profile

120

Unique Drugs

$146K

IRA Negotiated Drugs

$63K

GLP-1 Drugs

30.0

Anomaly Score

Patient Profile

74

Avg Age

58%

Female

1.12

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