⚠️

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 →

Maulikkumar PatelMD

Internal Medicine · Gray, GA 31032

NPI: 1013304088

Share:

26

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

34,515

Total Claims

$1.1M

Drug Cost

726

Beneficiaries

$1,479

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-19%

Opioid rate vs peers

1.8% vs 2.2% avg

+5%

Cost per patient vs peers

$1,479 vs $1,411 avg

+2%

Brand preference vs peers

10.9% 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

1.8%

Opioid Rate

629

Opioid Claims

$12K

Opioid Cost

11.4%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 3,748 claims · $728K

Generic: 30,726 claims · $345K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban525$117K
Deutetrabenazine38$47K
Linaclotide74$46K
Semaglutide20$33K
Insulin Aspart169$25K
Dulaglutide45$25K
Risperidone Microspheres25$23K
Rivaroxaban167$23K
Empagliflozin108$23K
Cariprazine Hcl67$22K
Insulin Detemir45$20K
Insulin Glargine,hum.Rec.Anlog111$18K
Lipase/Protease/Amylase57$18K
Insulin Detemir124$16K
Sitagliptin Phosphate108$16K

Prescribing Profile

222

Unique Drugs

$214K

IRA Negotiated Drugs

$65K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

74

Avg Age

66%

Female

2.28

Avg Risk Score

Explore More

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