⚠️

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 →

Nashwa Khogali-JakaryD.O.

Internal Medicine · Troy, MI 48084

NPI: 1033539846

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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

9,405

Total Claims

$601K

Drug Cost

799

Beneficiaries

$753

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

-58%

Opioid rate vs peers

0.9% vs 2.2% avg

-47%

Cost per patient vs peers

$753 vs $1,411 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

0.9%

Opioid Rate

89

Opioid Claims

$344

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 998 claims · $443K

Generic: 8,353 claims · $156K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban159$168K
Semaglutide41$39K
Mirabegron35$31K
Fluticasone Propion/Salmeterol46$19K
Rivaroxaban18$16K
Insulin Glargine,hum.Rec.Anlog17$15K
Levothyroxine Sodium590$11K
Losartan Potassium564$10K
Tiotropium Bromide12$9,878
Atorvastatin Calcium618$6,852
Budesonide/Formoterol Fumarate12$4,861
Azelastine Hcl138$4,492
Levothyroxine Sodium40$3,968
Amlodipine Besylate330$3,557
Rosuvastatin Calcium210$3,501

Prescribing Profile

115

Unique Drugs

$184K

IRA Negotiated Drugs

$39K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

78

Avg Age

78%

Female

1.16

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