⚠️

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 →

Nona EpsteinMD

Internal Medicine · New Orleans, LA 70121

NPI: 1053379164

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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

10,313

Total Claims

$840K

Drug Cost

838

Beneficiaries

$1,003

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

+17%

Opioid rate vs peers

2.6% vs 2.2% avg

-29%

Cost per patient vs peers

$1,003 vs $1,411 avg

-9%

Brand preference vs peers

9.6% 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

2.6%

Opioid Rate

271

Opioid Claims

$3,597

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 990 claims · $676K

Generic: 9,270 claims · $161K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide105$152K
Dulaglutide95$134K
Apixaban47$53K
Sitagliptin Phosphate43$48K
Mirabegron35$32K
Tirzepatide26$30K
Linaclotide26$24K
Fluticasone/Vilanterol45$23K
Budesonide/Formoterol Fumarate16$9,249
Insulin Glargine,hum.Rec.Anlog13$8,297
Valsartan295$8,151
Atorvastatin Calcium762$7,793
Lubiprostone16$6,822
Estrogens, Conjugated13$6,395
Levothyroxine Sodium430$6,149

Prescribing Profile

129

Unique Drugs

$102K

IRA Negotiated Drugs

$316K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

75%

Female

1.33

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