⚠️

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 →

Emmanuil RakhmanchikMD

Internal Medicine · Brooklyn, NY 11235

NPI: 1003845660

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18

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

13,718

Total Claims

$2.0M

Drug Cost

536

Beneficiaries

$3,705

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-92%

Opioid rate vs peers

0.2% vs 2.2% avg

+163%

Cost per patient vs peers

$3,705 vs $1,411 avg

+73%

Brand preference vs peers

18.4% 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

0.2%

Opioid Rate

25

Opioid Claims

$219

Opioid Cost

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 2,492 claims · $1.4M

Generic: 11,072 claims · $553K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Lipase/Protease/Amylase280$214K
Apixaban234$158K
Linaclotide194$108K
Omeprazole/Sodium Bicarbonate46$96K
Lipase/Protease/Amylase85$95K
Dihydroergotamine Mesylate28$90K
Sitagliptin Phos/Metformin Hcl83$84K
Dexlansoprazole188$57K
Icosapent Ethyl152$57K
Lactulose40$53K
Dulaglutide35$45K
Insulin Glargine,hum.Rec.Anlog44$44K
Sitagliptin Phosphate51$36K
Diclofenac Sodium153$33K
Empagliflozin29$31K

Prescribing Profile

158

Unique Drugs

$256K

IRA Negotiated Drugs

$73K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

77

Avg Age

53%

Female

1.28

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