⚠️

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 →

Ravi NarraMD

Internal Medicine · Elmore, OH 43416

NPI: 1033197017

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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

11,694

Total Claims

$1.3M

Drug Cost

831

Beneficiaries

$1,546

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

-79%

Opioid rate vs peers

0.5% vs 2.2% avg

+10%

Cost per patient vs peers

$1,546 vs $1,411 avg

+26%

Brand preference vs peers

13.4% 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

0.5%

Opioid Rate

56

Opioid Claims

$698

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,549 claims · $1.1M

Generic: 10,018 claims · $191K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban278$269K
Sitagliptin Phosphate181$195K
Dulaglutide73$86K
Insulin Glargine,hum.Rec.Anlog102$72K
Semaglutide30$45K
Rivaroxaban40$43K
Sitagliptin Phos/Metformin Hcl20$27K
Lipase/Protease/Amylase21$22K
Evolocumab13$21K
Linagliptin12$21K
Tiotropium Bromide13$19K
Fluticasone/Umeclidin/Vilanter17$19K
Dapagliflozin Propanediol11$17K
Mirabegron19$17K
Empagliflozin14$15K

Prescribing Profile

140

Unique Drugs

$539K

IRA Negotiated Drugs

$132K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

76

Avg Age

51%

Female

1.23

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