⚠️

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 →

Arash MilaniMD

Internal Medicine · Victorville, CA 92395

NPI: 1043581317

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

22,325

Total Claims

$2.9M

Drug Cost

1,221

Beneficiaries

$2,355

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-21%

Opioid rate vs peers

1.8% vs 2.2% avg

+67%

Cost per patient vs peers

$2,355 vs $1,411 avg

+78%

Brand preference vs peers

18.9% 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

1.8%

Opioid Rate

393

Opioid Claims

$4,497

Opioid Cost

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 4,147 claims · $2.3M

Generic: 17,771 claims · $531K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban570$296K
Tirzepatide127$142K
Semaglutide140$139K
Empagliflozin156$128K
Sitagliptin Phosphate122$107K
Fluticasone/Umeclidin/Vilanter125$93K
Budesonide/Glycopyr/Formoterol111$84K
Rifaximin37$81K
Rivaroxaban96$75K
Insulin Glargine,hum.Rec.Anlog159$74K
Dulaglutide61$64K
Everolimus12$57K
Semaglutide35$52K
Lidocaine Hcl17$40K
Daptomycin20$26K

Prescribing Profile

228

Unique Drugs

$667K

IRA Negotiated Drugs

$409K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

71

Avg Age

55%

Female

2.69

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