⚠️

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 →

Piotr KulikowskiMD

Internal Medicine · Saint Louis, MO 63117

NPI: 1053388678

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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

14,471

Total Claims

$1.2M

Drug Cost

669

Beneficiaries

$1,865

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. 110,156 Internal Medicine providers

+56%

Opioid rate vs peers

3.5% vs 2.2% avg

+32%

Cost per patient vs peers

$1,865 vs $1,411 avg

+26%

Brand preference vs peers

13.4% 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

3.5%

Opioid Rate

504

Opioid Claims

$10K

Opioid Cost

9.5%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,933 claims · $920K

Generic: 12,458 claims · $323K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban360$145K
Tirzepatide59$72K
Sitagliptin Phosphate139$67K
Dulaglutide55$61K
Dapagliflozin Propanediol60$43K
Vortioxetine Hydrobromide68$37K
Insulin Glargine,hum.Rec.Anlog83$26K
Rivaroxaban61$24K
Semaglutide15$23K
Brexpiprazole14$21K
Mirabegron70$19K
Linagliptin45$19K
Budesonide/Formoterol Fumarate36$17K
Budesonide/Glycopyr/Formoterol20$13K
Empagliflozin22$13K

Prescribing Profile

181

Unique Drugs

$304K

IRA Negotiated Drugs

$168K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

74

Avg Age

63%

Female

2.55

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