⚠️

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 →

Carol D'souzaM.D.

Internal Medicine · Parma, OH 44130

NPI: 1033203203

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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

11,664

Total Claims

$1.3M

Drug Cost

815

Beneficiaries

$1,615

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

-85%

Opioid rate vs peers

0.3% vs 2.2% avg

+14%

Cost per patient vs peers

$1,615 vs $1,411 avg

+25%

Brand preference vs peers

13.3% 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

0.3%

Opioid Rate

39

Opioid Claims

$242

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,527 claims · $1.1M

Generic: 9,993 claims · $220K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rivaroxaban127$168K
Sitagliptin Phosphate84$125K
Apixaban79$96K
Liraglutide31$84K
Semaglutide70$81K
Empagliflozin52$77K
Insulin Glargine,hum.Rec.Anlog79$69K
Dulaglutide22$44K
Dapagliflozin Propanediol32$40K
Insulin Glargine,hum.Rec.Anlog18$27K
Insulin Lispro21$18K
Insulin Detemir21$18K
Linagliptin12$18K
Tiotropium Bromide11$15K
Atorvastatin Calcium769$14K

Prescribing Profile

131

Unique Drugs

$505K

IRA Negotiated Drugs

$209K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

76

Avg Age

70%

Female

1.24

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