⚠️

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 →

Padma RamMD

Internal Medicine · Oswego, NY 13126

NPI: 1003928953

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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

17,531

Total Claims

$2.2M

Drug Cost

1,247

Beneficiaries

$1,741

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

+66%

Opioid rate vs peers

3.7% vs 2.2% avg

+23%

Cost per patient vs peers

$1,741 vs $1,411 avg

+18%

Brand preference vs peers

12.6% 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

3.7%

Opioid Rate

650

Opioid Claims

$17K

Opioid Cost

8.2%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,179 claims · $1.7M

Generic: 15,174 claims · $449K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide95$177K
Apixaban121$158K
Fluticasone/Umeclidin/Vilanter118$115K
Rivaroxaban91$114K
Lipase/Protease/Amylase29$106K
Empagliflozin68$74K
Denosumab40$66K
Dulaglutide23$49K
Dapagliflozin Propanediol36$44K
Lipase/Protease/Amylase14$41K
Fluticasone/Vilanterol67$37K
Insulin Glargine,hum.Rec.Anlog39$36K
Sitagliptin Phosphate29$35K
Brexpiprazole15$33K
Budesonide/Formoterol Fumarate38$28K

Prescribing Profile

207

Unique Drugs

$447K

IRA Negotiated Drugs

$246K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

70%

Female

1.21

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