⚠️

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 →

Anna MirzoyanMD

Family Practice · Sacramento, CA 95825

NPI: 1053463281

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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

9,322

Total Claims

$410K

Drug Cost

778

Beneficiaries

$527

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. 106,889 Family Practice providers

+68%

Opioid rate vs peers

4.3% vs 2.6% avg

-51%

Cost per patient vs peers

$527 vs $1,068 avg

+4%

Brand preference vs peers

9.3% 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

4.3%

Opioid Rate

404

Opioid Claims

$6,708

Opioid Cost

12.1%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 862 claims · $244K

Generic: 8,384 claims · $164K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban30$35K
Tiotropium Bromide72$32K
Rivaroxaban20$27K
Empagliflozin22$23K
Lipase/Protease/Amylase20$17K
Semaglutide19$16K
Dabigatran Etexilate Mesylate54$15K
Levothyroxine Sodium446$9,537
Atorvastatin Calcium582$8,049
Fluticasone Propion/Salmeterol48$7,962
Ciclesonide62$5,813
Mometasone Furoate13$5,167
Diclofenac Sodium150$5,064
Albuterol Sulfate228$4,444
Famotidine233$4,199

Prescribing Profile

139

Unique Drugs

$85K

IRA Negotiated Drugs

$16K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

64%

Female

1.11

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