⚠️

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 →

Nilesh PatelMD

Internal Medicine · Jamaica, NY 11418

NPI: 1033179080

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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

11,580

Total Claims

$1.2M

Drug Cost

654

Beneficiaries

$1,903

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

-9%

Opioid rate vs peers

2.0% vs 2.2% avg

+35%

Cost per patient vs peers

$1,903 vs $1,411 avg

+45%

Brand preference vs peers

15.4% 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

2.0%

Opioid Rate

235

Opioid Claims

$2,025

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,750 claims · $964K

Generic: 9,635 claims · $272K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban227$166K
Sitagliptin Phosphate113$120K
Budesonide/Formoterol Fumarate153$79K
Dapagliflozin Propanediol36$59K
Rivaroxaban61$55K
Diclofenac Sodium167$54K
Empagliflozin36$44K
Insulin Glargine,hum.Rec.Anlog84$39K
Insulin Aspart40$37K
Sacubitril/Valsartan28$31K
Semaglutide12$27K
Collagenase Clostridium Hist.47$24K
Lactulose93$18K
Insulin Glargine,hum.Rec.Anlog38$16K
Fluticasone Propion/Salmeterol14$16K

Prescribing Profile

145

Unique Drugs

$520K

IRA Negotiated Drugs

$27K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

77

Avg Age

60%

Female

1.94

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