⚠️

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 →

Shantharam PaiM.D.

Family Practice · Redlands, CA 92373

NPI: 1053317537

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

9,360

Total Claims

$726K

Drug Cost

305

Beneficiaries

$2,380

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. 106,889 Family Practice providers

+51%

Opioid rate vs peers

3.9% vs 2.6% avg

+123%

Cost per patient vs peers

$2,380 vs $1,068 avg

+91%

Brand preference vs peers

17.2% vs 9.0% 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

3.9%

Opioid Rate

365

Opioid Claims

$8,541

Opioid Cost

11.0%

Long-Acting Rate

Brand vs Generic

83% generic

Brand: 1,605 claims · $495K

Generic: 7,736 claims · $228K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban341$93K
Sucroferric Oxyhydroxide20$57K
Dulaglutide49$36K
Rivaroxaban75$22K
Empagliflozin69$22K
Sitagliptin Phosphate72$21K
Linagliptin67$19K
Ipratropium/Albuterol Sulfate36$18K
Mycophenolate Mofetil18$17K
Insulin Glargine,hum.Rec.Anlog39$16K
Mirabegron66$15K
Vibegron46$12K
Insulin Aspart36$11K
Atorvastatin Calcium590$11K
Fluticasone/Umeclidin/Vilanter16$10K

Prescribing Profile

158

Unique Drugs

$174K

IRA Negotiated Drugs

$36K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

82

Avg Age

67%

Female

2.70

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