⚠️

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 →

James KosMD

Internal Medicine · Ft Lauderdale, FL 33308

NPI: 1053406207

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29

🟡 Moderate

Risk Flags

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

8,588

Total Claims

$707K

Drug Cost

440

Beneficiaries

$1,607

Cost/Patient

Risk Score Breakdown 29/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-37%

Opioid rate vs peers

1.4% vs 2.2% avg

+14%

Cost per patient vs peers

$1,607 vs $1,411 avg

+35%

Brand preference vs peers

14.4% 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

1.4%

Opioid Rate

121

Opioid Claims

$3,139

Opioid Cost

19.0%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,226 claims · $545K

Generic: 7,312 claims · $159K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban339$170K
Ceftazidime/Avibactam14$54K
Rivaroxaban52$40K
Fluticasone Propion/Salmeterol35$24K
Sacubitril/Valsartan27$19K
Sitagliptin Phosphate43$16K
Fluticasone/Umeclidin/Vilanter31$16K
Dapagliflozin Propanediol15$14K
Insulin Detemir16$11K
Insulin Aspart16$7,598
Empagliflozin/Linagliptin24$7,113
Atorvastatin Calcium464$7,090
Potassium Chloride186$6,417
Lipase/Protease/Amylase15$6,141
Levothyroxine Sodium283$5,697

Prescribing Profile

119

Unique Drugs

$271K

IRA Negotiated Drugs

29.0

Anomaly Score

Patient Profile

82

Avg Age

63%

Female

2.29

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