⚠️

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 →

Varinia Urday-GamalskiM.D.

Internal Medicine · Troy, MI 48084

NPI: 1033314869

Share:

24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

8,867

Total Claims

$841K

Drug Cost

453

Beneficiaries

$1,855

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+79%

Opioid rate vs peers

4.0% vs 2.2% avg

+31%

Cost per patient vs peers

$1,855 vs $1,411 avg

+18%

Brand preference vs peers

12.5% 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

4.0%

Opioid Rate

355

Opioid Claims

$6,776

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,095 claims · $630K

Generic: 7,646 claims · $203K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban171$126K
Semaglutide72$84K
Dulaglutide35$37K
Rivaroxaban46$36K
Liraglutide13$29K
Budesonide/Formoterol Fumarate52$28K
Sitagliptin Phosphate36$27K
Fluticasone Propion/Salmeterol38$19K
Empagliflozin27$18K
Metformin Hcl22$16K
Insulin Glargine,hum.Rec.Anlog24$16K
Tiotropium Bromide27$15K
Fluticasone/Umeclidin/Vilanter16$14K
Insulin Glargine,hum.Rec.Anlog34$12K
Atorvastatin Calcium523$10K

Prescribing Profile

139

Unique Drugs

$212K

IRA Negotiated Drugs

$150K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

72

Avg Age

67%

Female

2.74

Avg Risk Score

Explore More

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