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Opioid crisis mapping, network adequacy, and treatment capacity analytics, across every US county

Map treatment deserts, identify high-risk prescribers, analyze MAT capacity gaps, and benchmark opioid prescribing patterns, board-ready in one conversation. Replace six-figure consulting engagements with a from $199/month subscription.

22high-crisis counties mapped
20prescribers analyzed
460SUD treatment slots tracked
3counties with MAT facilities

How it works

One question. Board-ready opioid analytics.

These are real reports generated from live CMS data. Ask Medistill to map the opioid crisis , it pulls prescribing rates, treatment facilities, pharma payments, and compliance flags in one conversation.

Query

“Map the opioid crisis across the top 25 US counties with highest Medicaid prescribing rates. For each county show: opioid Rx rate, overdose deaths per 100K, number of OTP/MAT facilities, hospital beds per 10K, Medicare spending per beneficiary, ER visit rate, and mental health provider shortage. Flag treatment deserts.”

Opioid Crisis Index, Counties at Greatest Risk

CMS Medicaid Opioid Geo · CDC WONDER Mortality · SAMHSA OTP Directory · AHRF · Source: Medistill

Counties analyzed
22
highest Rx rates
Zero-MAT counties
19
no OTP facility
Avg OD death rate
30.5
per 100K population
Avg Rx rate
11.4
opioid Rx per enrollee
Avg Medicare $/bene
$10,883
spending per beneficiary
CountyStateRx RateOD Deaths/100KOTPBeds/10KMedicare $/beneER/1KMental %
San JuanCO16.7410$9,61957715.2%
White PineNV13.341027.8$12,43269814.8%
RobertsTX13.3180$8,86530413.5%
TerrellTX13.2230$9,96653714.1%
MenomineeWI12.8390$10,85887618.5%
CatronNM11.9390$7,95144115.9%
HardingNM11.7360$11,10641014.9%
HuerfanoCO11.6340$9,38957116.3%
Pend OreilleWA11.626052.1$9,08556415.8%
ClarkID11.3230$11,78768216.4%
ChurchillNV11.23309.7$10,45469514.5%
TrousdaleTN1147120.5$12,82964615.8%
BannerNE10.8130$13,44740513.6%
LincolnWA10.821054.8$11,24057714.2%
FerryWA10.725033.8$9,82255215.9%
CannonTN10.744120.3$13,55557915.2%
FremontWY10.625020$9,90052015.5%
Keya PahaNE10.6150$14,00245213.9%
HardinIL10.536069.4$12,949153518.5%
StevensWA10.522116.7$8,46557115.3%
Clear CreekCO10.5230$10,82637814.8%
GrundyTN10.4530$11,52670818.9%
Source: CMS Medicaid Opioid Geographic Variation, CDC WONDER, SAMHSA OTP Directory, AHRF. Rx Rate = opioid prescriptions per Medicaid enrollee. OD Deaths = drug overdose deaths per 100K (age-adjusted). OTP = Opioid Treatment Programs (SAMHSA-certified). Red-highlighted rows indicate crisis counties (zero MAT + OD deaths 30/100K).

Follow-up query

“Who are the top opioid prescribers in those treatment desert counties? Cross-reference each with industry payments for pharma manufacturer relationships, LEIE for federal exclusions, and flag any receiving payments from opioid manufacturers specifically.”

Opioid Prescriber Deep-Dive, Treatment Desert Counties

Plan prescribing data · industry payments · OIG LEIE · SAMHSA OTP · Source: Medistill

Prescribers
20
in desert counties
Total opioid claims
15.4K
plan opioid Rx
Mfr payments
9/20
opioid mfr linked
Specialty mix
100%
FP/IM/NP/PA
LEIE exclusions
0/20
all clear
Flagged high-risk
6
prescribers
NameStSpecCountyOpioid RxBeneOpioidsPharma $Opioid MfrMATLEIERisk
Marie BohrerWYNPFremont1,6861879$53YES0ClearHigh
Misbah ZmilyNMIMHarding adj.1,1021317$1,435YES0ClearHigh
Marcos SungaILIMHardin1,0891448$1,122YES0ClearHigh
Pamela AmmonsNMNPHarding adj.859676$121No0ClearElevated
Jeremy LewisWAFPPend Oreille8511868$2,580YES0ClearHigh
Anpo Charging ThunderNEFPKeya Paha adj.778747$64No0ClearElevated
Rolf PankeWAFPLincoln741877$5,388YES0ClearHigh
Christopher BuscherWAPAPend Oreille7401286$389No0ClearElevated
Angelika KrausWAFPPend Oreille724747$1,770YES0ClearHigh
Precious Castro-FloresCOIMHuerfano adj.7031255$661No0ClearElevated
Mark BaylissNMPAHarding adj.701865$50No0ClearElevated
James SpurlockTNFPCannon700956$7,864YES1ClearMonitored
Bart KneelandWIFPMenominee adj.6891506$34No0ClearModerate
Frederick ReedWAFPLincoln659817$3,416YES0ClearModerate
Mari HunterWANPFerry601808$0No0ClearModerate
Heidi HelgesonCOFPRio Grande adj.593796$1,574YES0ClearModerate
Shannon RadkeWAFPPend Oreille5791227$3,061No0ClearModerate
Amir ObbehatCOIMCatron adj.5741085$1,934YES0ClearModerate
Jason WeyerWYFPFremont adj.518575$113YES0ClearModerate
Eladio ChattoILIMHardin508743$1,060YES0ClearModerate
Risk logic: High = 700 opioid claims + opioid mfr payment. Elevated = 700 claims, no opioid mfr payment. Monitored = MAT facility present in county. Moderate = below thresholds. All 20 prescribers are LEIE-clear. 9/20 received payments linked to opioid product manufacturers.

Follow-up query

“For the 3 counties that do have MAT facilities (Trousdale TN, Cannon TN, Stevens WA), what's the treatment capacity vs. opioid demand? How many SUD treatment slots exist vs. plan opioid volume? Are these facilities keeping up?”

Treatment Capacity vs. Opioid Demand

SAMHSA OTP · plan-level · AHRF · N-SSATS · Source: Medistill

Counties with MAT
3
of 22 analyzed
Est. SUD slots
460
treatment capacity
plan opioid Rx
14,852
in 3 counties
Demand:supply ratio
32:1
Rx per treatment slot
Critical strain
2
counties over capacity
Zero residential
2/3
no inpatient SUD beds
CountyStatePopulationMedicaid Rx RatePlan Opioid RxOTP FacilitiesHosp BedsPsych BedsEst. SUD SlotsStrain
TrousdaleTN11,284116,3411250120Critical
CannonTN14,67810.75,2871300140Critical
StevensWA46,28210.53,2241778200High
Est. SUD Slots = estimated substance use disorder treatment capacity based on OTP enrollment caps + hospital-based detox beds + outpatient program capacity (N-SSATS). Strain = Critical if demand:supply ratio > 40:1, High if > 15:1.

What you can ask

Questions that used to take weeks, answered in a conversation

Each question runs against real data. Follow-ups build on previous results , Medistill remembers context across the entire conversation.

Opioid treatment desert mapping

1

Map the opioid treatment desert. For the 25 counties with the highest Medicaid opioid prescribing rates, show: overdose death rates, total SAMHSA treatment facilities, how many offer medication-assisted treatment (buprenorphine, methadone), available treatment beds per 100K population, and Medicare spending per beneficiary. Which counties are prescribing the most opioids with zero MAT-capable treatment facilities?

Joins Medicaid Drug Utilization, CDC mortality, SAMHSA facility data, AHRF beds, and Medicare geographic variation into a single crisis map no existing tool can produce.

2

In those treatment desert counties, who are the top opioid prescribers by plan volume? Show their specialties, opioid claims, and whether they receive payments from opioid manufacturers. Are prescribers fueling the crisis in places with no treatment options?

Cross-references prescribing data, industry payments, and LEIE to connect individual prescriber behavior to county-level crisis data.

3

For the counties that DO have treatment facilities, what’s the capacity gap? Show the ratio of annual opioid prescriptions to available treatment beds. Which facilities offer detox vs. outpatient vs. residential? Where is treatment infrastructure most strained relative to demand?

Quantifies the demand-to-supply ratio using plan claims, OTP enrollment, AHRF beds, and NPI treatment provider data.

Without Medistill

Manual county-by-county research across CDC WONDER, SAMHSA locator, CMS data files, and state databases. Weeks of analyst time to build a single crisis map.

Network compliance screening

1

Screen every provider in our Florida network against all compliance databases. Flag anyone with an OIG exclusion, SAM.gov debarment, state board discipline, Medicare opt-out, or NPI deactivation.

Batch screens against 16+ federal and state databases in seconds, the same check that takes credentialing teams days per provider.

2

For the flagged providers, show their Medicare billing volume. How much are we paying to providers with compliance issues?

Quantifies financial exposure from non-compliant network providers, critical for audit preparation.

3

Are any of the excluded providers in our network also receiving pharma payments? Show the payment amounts and companies.

Surfaces potential fraud patterns, excluded providers still receiving industry payments.

Without Medistill

Manual OIG LEIE checks one-by-one, separate state board lookups, SAM.gov searches, Medicare opt-out list downloads. Days of tedious work per provider.

ACO performance benchmarking

1

Which ACOs are actually saving money? Pull every MSSP ACO, rank by generated savings per assigned beneficiary. For the top 20, show their quality scores, number of participating providers, track level, and years in the program. What predicts success?

Analyzes ACO REACH and MSSP performance data alongside quality scores to identify the structural patterns that drive savings.

2

Compare MSSP ACOs vs ACO REACH entities on the same metrics. Is the direct contracting model outperforming traditional shared savings?

Head-to-head comparison of the two dominant value-based care models, critical for network strategy.

Without Medistill

Download multiple CMS data files, normalize across different program years and reporting formats, build custom analytics. Months of work.

GLP-1 spend trajectory

1

Our actuarial team needs to understand GLP-1 spend trajectory. Pull plan total drug spending for semaglutide, tirzepatide, liraglutide, and dulaglutide by year. Show year-over-year growth rate in cost and volume. At current trajectory, project the spend increase.

Combines plan-level Drug Spending data across multiple years with prescribing volume trends, the data actuaries need but takes weeks to compile manually.

2

Which states have the highest GLP-1 prescribing rates? Cross-reference with obesity prevalence from CDC PLACES, are the states with the most obesity getting the most GLP-1 prescriptions, or is there a mismatch?

Maps prescribing geography to disease burden, identifies both appropriate utilization and potential over/under-prescribing markets.

3

How many of the top GLP-1 prescribers are endocrinologists vs PCPs vs other specialties? Is this being driven by specialists or primary care?

Prescriber specialty mix determines formulary strategy, PCP-driven markets respond to different interventions than specialist-driven ones.

Without Medistill

Download raw plan-level spending files, build year-over-year trend analysis, separately download CDC prevalence data, manually cross-reference. Weeks of analyst time.

Hospital price transparency

1

We’re renegotiating hospital contracts in Texas. Pull every hospital’s negotiated rate for the 10 highest-volume DRGs from price transparency data. Show us where we’re paying more than the state median and by how much.

Queries 6.1B price transparency charges to find rate outliers, the analysis that gives your negotiation team leverage.

2

For the hospitals where we’re 20%+ above market, what are their quality scores? Are we paying a premium for better outcomes, or just overpaying?

Connects price data to quality data, separates justified premiums from pure overpayment.

Without Medistill

Download individual hospital machine-readable files (hundreds of them), normalize across different formats, build comparison analytics. Massive data engineering effort.

Network risk monitoring

Predictive Hospital Risk Intelligence

Flag at-risk hospitals in your network before CMS does

Our model is trained on 7 years of hospital financial data and predicts financial distress 12 months ahead. Every acute care and critical access hospital in the US, 6,170+ facilities, scored 0–100 with A–F grades.

HospitalStateRisk ScoreGradeKey DriverTrend
AD Hospital East LLCTX94.9FNegative margin + declining dischargesWorsening
Knox County HospitalTX86.1FMargin declined 26pp year-over-yearWorsening
Wilson N Jones RegionalTX85.3FDischarge decline 15%+Worsening
Cochran Memorial HospitalTX83.9FNegative operating marginStable
Culberson HospitalTX80.9FRevenue/discharge below peer averageWorsening

Why switch

Medistill vs. traditional payer analytics

Consulting firms / manual CMS
Medistill payer analytics for health plans, from $199 per month

Opioid crisis mapping

Manual county-by-county research, weeks of work

22-county deep analysis in one question

Prescriber analysis

Separate database queries, manual joins

Cross-reference prescribing data, industry payments, LEIE in seconds

Treatment capacity

Call each facility, compile manually

MAT facility capacity vs. demand, auto-calculated

Pharma payment tracking

Download flat files, manual matching

Industry payments linked to prescriber + opioid products

Compliance screening

Manual OIG + state board checks

130+ databases, instant, with risk scoring

Dashboards

Pre-built templates, IT tickets

Ask for a dashboard, generated instantly

Reports

Manual exports, copy-paste

"Turn this into a report", formatted, downloadable

Modifications

New query, start over

"Filter to WA state only", refine by asking

Scheduled monitoring

Not available or enterprise add-on

Schedule any query daily/weekly via Claude

Price

$100K–$300K/yr consulting + data subscriptions

From $199/mo

Hospital network risk monitoring

Not available

Predictive model, 6,170 hospitals scored, A-F grades, 12-month forward

Data coverage

The complete payer analytics stack, in one platform

Screen Network Providers

  • 130-source compliance screen for every provider in your network
  • OIG, SAM.gov, state boards, FDA, NPDB, DEA
  • Risk score (0–100) and batch screening for entire panels

Monitor Prescribing Risk

  • Opioid prescribing patterns by provider, drug, and county
  • Substance diversity and high-volume outlier detection
  • Cross-reference prescribers with pharma manufacturer payments

Assess Network Adequacy

  • Geographic search: find providers by specialty within any radius
  • Identify coverage gaps by county and specialty
  • Treatment facility locations, MAT capability, and OTP capacity

Plan Formulary & Drug Spending

  • 1.12M plan formulary records across plans
  • Drug-level spending and utilization trends
  • Medicaid drug utilization and state-level variation

Facility-Level Screening

  • Screen hospitals and facilities for CMS sanctions and penalties
  • Nursing home special focus facilities and enforcement actions
  • Dialysis facility quality and IRF/LTCH compare data

Cost & Utilization Benchmarks

  • County demographics, hospital beds, provider density
  • Medicare spending per beneficiary by geography
  • ER visit rates and population health indicators

Board-ready network analytics, one conversation away

9.4M providers, 130+ compliance sources, 1.12M formulary records, geographic adequacy , all queryable through AI at from $199/month.