⚠️

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 →

Romany DemianM.D.

Internal Medicine · Oxnard, CA 93030

NPI: 1043232085

Share:

18

🟡 Moderate

Risk Flags

Elevated cost per beneficiaryOpioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

14,966

Total Claims

$2.5M

Drug Cost

399

Beneficiaries

$6,279

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
High fills per patient+5
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-73%

Opioid rate vs peers

0.6% vs 2.2% avg

+345%

Cost per patient vs peers

$6,279 vs $1,411 avg

+66%

Brand preference vs peers

17.6% 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

0.6%

Opioid Rate

90

Opioid Claims

$801

Opioid Cost

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 2,616 claims · $2.2M

Generic: 12,219 claims · $271K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide441$631K
Empagliflozin506$497K
Linagliptin234$202K
Insulin Glargine,hum.Rec.Anlog146$133K
Rivaroxaban125$102K
Finerenone57$67K
Icosapent Ethyl130$62K
Sitagliptin Phosphate70$61K
Linaclotide66$57K
Insulin Glargine,hum.Rec.Anlog88$55K
Empagliflozin/Metformin Hcl55$37K
Sitagliptin Phos/Metformin Hcl41$33K
Insulin Aspart31$32K
Insulin Glargine/Lixisenatide19$27K
Ezetimibe474$25K

Prescribing Profile

105

Unique Drugs

$692K

IRA Negotiated Drugs

$631K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

75

Avg Age

54%

Female

1.04

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