⚠️

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 →

Ketan PatelM.D.

Internal Medicine · Carrollton, TX 75010

NPI: 1003814146

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24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

15,719

Total Claims

$779K

Drug Cost

507

Beneficiaries

$1,537

Cost/Patient

Risk Score Breakdown 24/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-26%

Opioid rate vs peers

1.7% vs 2.2% avg

+9%

Cost per patient vs peers

$1,537 vs $1,411 avg

+32%

Brand preference vs peers

14.0% vs 10.6% 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

1.7%

Opioid Rate

262

Opioid Claims

$5,492

Opioid Cost

5.7%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,205 claims · $455K

Generic: 13,501 claims · $323K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban419$128K
Sitagliptin Phosphate97$29K
Dulaglutide18$17K
Rivaroxaban54$15K
Linagliptin42$11K
Empagliflozin38$11K
Insulin Glargine,hum.Rec.Anlog42$11K
Memantine Hcl225$11K
Insulin Glargine,hum.Rec.Anlog35$11K
Atorvastatin Calcium733$10K
Budesonide/Glycopyr/Formoterol17$10K
Vancomycin Hcl18$9,932
Gabapentin527$9,236
Potassium Chloride382$9,072
Lipase/Protease/Amylase13$7,696

Prescribing Profile

182

Unique Drugs

$194K

IRA Negotiated Drugs

$17K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

79

Avg Age

67%

Female

2.48

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 of wrongdoing.Methodology · About · Dispute this data