⚠️

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 →

Joseph RomanMD

Internal Medicine · College Station, TX 77845

NPI: 1023166717

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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

10,493

Total Claims

$1.3M

Drug Cost

652

Beneficiaries

$2,038

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

-39%

Opioid rate vs peers

1.4% vs 2.2% avg

+44%

Cost per patient vs peers

$2,038 vs $1,411 avg

+33%

Brand preference vs peers

14.1% 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

1.4%

Opioid Rate

144

Opioid Claims

$1,019

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,469 claims · $1.1M

Generic: 8,941 claims · $218K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin136$131K
Dulaglutide76$119K
Semaglutide57$85K
Teriparatide21$84K
Dapagliflozin Propanediol54$80K
Apixaban81$72K
Sitagliptin Phosphate47$60K
Insulin Glargine,hum.Rec.Anlog59$43K
Budesonide/Formoterol Fumarate39$30K
Tirzepatide19$30K
Mirabegron27$28K
Linagliptin14$19K
Insulin Aspart12$18K
Icosapent Ethyl30$16K
Evolocumab18$15K

Prescribing Profile

146

Unique Drugs

$362K

IRA Negotiated Drugs

$244K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

77

Avg Age

54%

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