⚠️

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 →

Fred GrunseidM.D.

Internal Medicine · Brooklyn, NY 11236

NPI: 1023036613

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

11,255

Total Claims

$2.1M

Drug Cost

659

Beneficiaries

$3,207

Cost/Patient

Risk Score Breakdown 15/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-88%

Opioid rate vs peers

0.3% vs 2.2% avg

+127%

Cost per patient vs peers

$3,207 vs $1,411 avg

+61%

Brand preference vs peers

17.1% 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

0.3%

Opioid Rate

31

Opioid Claims

$190

Opioid Cost

Long-Acting Rate

Brand vs Generic

83% generic

Brand: 1,906 claims · $1.8M

Generic: 9,225 claims · $351K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide169$195K
Apixaban142$167K
Dapagliflozin Propanediol94$128K
Sitagliptin Phosphate82$95K
Adalimumab12$90K
Rivaroxaban77$80K
Empagliflozin59$78K
Sacubitril/Valsartan46$64K
Fluticasone/Umeclidin/Vilanter60$59K
Dulaglutide37$48K
Sitagliptin Phos/Metformin Hcl26$37K
Liraglutide19$32K
Insulin Glargine/Lixisenatide26$30K
Linaclotide37$29K
Insulin Degludec22$28K

Prescribing Profile

173

Unique Drugs

$612K

IRA Negotiated Drugs

$323K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

58%

Female

1.14

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