⚠️

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 →

Vian MishoMD

Family Practice · Berkley, MI 48072

NPI: 1023224664

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26

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

19,179

Total Claims

$1.7M

Drug Cost

462

Beneficiaries

$3,609

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. 106,889 Family Practice providers

-20%

Opioid rate vs peers

2.1% vs 2.6% avg

+238%

Cost per patient vs peers

$3,609 vs $1,068 avg

+58%

Brand preference vs peers

14.2% vs 9.0% 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

2.1%

Opioid Rate

398

Opioid Claims

$6,195

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,699 claims · $1.3M

Generic: 16,244 claims · $358K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin224$169K
Apixaban243$131K
Linagliptin138$111K
Dapagliflozin Propanediol136$90K
Linaclotide130$87K
Sitagliptin Phosphate61$71K
Fluticasone/Umeclidin/Vilanter86$59K
Denosumab30$52K
Semaglutide46$51K
Budesonide/Formoterol Fumarate91$47K
Semaglutide36$36K
Fluticasone Propion/Salmeterol64$34K
Pitavastatin Calcium28$25K
Fluticasone/Vilanterol49$24K
Icosapent Ethyl66$22K

Prescribing Profile

192

Unique Drugs

$468K

IRA Negotiated Drugs

$87K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

72

Avg Age

61%

Female

1.51

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