⚠️

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 →

Howard KochMD

Internal Medicine · Sunrise, FL 33351

NPI: 1003872375

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

15,523

Total Claims

$1.3M

Drug Cost

825

Beneficiaries

$1,540

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-56%

Opioid rate vs peers

1.0% vs 2.2% avg

+9%

Cost per patient vs peers

$1,540 vs $1,411 avg

+27%

Brand preference vs peers

13.5% 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

1.0%

Opioid Rate

154

Opioid Claims

$2,027

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,082 claims · $888K

Generic: 13,393 claims · $381K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban292$166K
Dulaglutide183$126K
Rivaroxaban112$60K
Bictegrav/Emtricit/Tenofov Ala12$49K
Pimavanserin Tartrate19$46K
Semaglutide45$45K
Empagliflozin32$40K
Sitagliptin Phosphate41$28K
Linagliptin51$25K
Fluticasone/Umeclidin/Vilanter25$24K
Emtricitabine/Tenofov Alafenam11$23K
Insulin Glargine,hum.Rec.Anlog108$18K
Mirabegron41$14K
Fluticasone/Vilanterol35$13K
Linaclotide25$13K

Prescribing Profile

186

Unique Drugs

$298K

IRA Negotiated Drugs

$171K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

82

Avg Age

64%

Female

1.59

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