⚠️

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 →

Lakshmi ArekapudiM.D.

Internal Medicine · Bay City, MI 48706

NPI: 1053385682

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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

14,192

Total Claims

$1.7M

Drug Cost

812

Beneficiaries

$2,120

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

+83%

Opioid rate vs peers

4.1% vs 2.2% avg

+50%

Cost per patient vs peers

$2,120 vs $1,411 avg

+41%

Brand preference vs peers

15.0% 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

4.1%

Opioid Rate

582

Opioid Claims

$7,426

Opioid Cost

2.2%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 2,104 claims · $1.5M

Generic: 11,932 claims · $251K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban304$205K
Dulaglutide101$143K
Tirzepatide79$120K
Adalimumab13$87K
Insulin Glargine,hum.Rec.Anlog75$77K
Fluticasone/Umeclidin/Vilanter78$63K
Rivaroxaban64$49K
Sitagliptin Phosphate68$46K
Insulin Detemir51$41K
Insulin Glargine,hum.Rec.Anlog42$37K
Semaglutide22$37K
Liraglutide13$36K
Insulin Aspart37$35K
Rifaximin17$32K
Empagliflozin28$31K

Prescribing Profile

168

Unique Drugs

$413K

IRA Negotiated Drugs

$355K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

74

Avg Age

70%

Female

1.83

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