⚠️

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 →

Michael PianskyM.D.

Internal Medicine · Douglasville, GA 30134

NPI: 1023087491

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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

13,100

Total Claims

$934K

Drug Cost

1,263

Beneficiaries

$740

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

+84%

Opioid rate vs peers

4.1% vs 2.2% avg

-48%

Cost per patient vs peers

$740 vs $1,411 avg

-2%

Brand preference vs peers

10.5% 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

4.1%

Opioid Rate

539

Opioid Claims

$4,325

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,355 claims · $741K

Generic: 11,595 claims · $185K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide65$77K
Empagliflozin54$62K
Dapagliflozin Propanediol46$55K
Semaglutide24$50K
Sitagliptin Phosphate55$49K
Abacavir/Dolutegravir/Lamivudi12$45K
Insulin Glargine,hum.Rec.Anlog36$32K
Semaglutide17$25K
Insulin Aspart Prot/Insuln Asp14$19K
Insulin Aspart16$19K
Insulin Detemir17$16K
Fluticasone/Vilanterol28$15K
Insulin Lispro Protamin/Lispro11$14K
Sitagliptin Phos/Metformin Hcl20$14K
Apixaban21$14K

Prescribing Profile

161

Unique Drugs

$199K

IRA Negotiated Drugs

$152K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

73

Avg Age

55%

Female

1.20

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