⚠️

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 →

Abhishek MishraMD

Internal Medicine · Orlando, FL 32828

NPI: 1053816587

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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

16,040

Total Claims

$1.3M

Drug Cost

651

Beneficiaries

$1,989

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

-8%

Opioid rate vs peers

2.1% vs 2.2% avg

+41%

Cost per patient vs peers

$1,989 vs $1,411 avg

+89%

Brand preference vs peers

20.1% 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

2.1%

Opioid Rate

329

Opioid Claims

$11K

Opioid Cost

12.2%

Long-Acting Rate

Brand vs Generic

80% generic

Brand: 3,205 claims · $884K

Generic: 12,774 claims · $409K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban610$170K
Vibegron246$59K
Sitagliptin Phosphate157$45K
Pimavanserin Tartrate19$41K
Dulaglutide69$35K
Mirabegron138$32K
Fluticasone/Umeclidin/Vilanter65$22K
Epoetin Alfa14$22K
Budesonide/Formoterol Fumarate51$21K
Memantine Hcl174$18K
Collagenase Clostridium Hist.29$18K
Insulin Aspart114$18K
Empagliflozin51$17K
Ertapenem Sodium43$16K
Insulin Glargine,hum.Rec.Anlog55$16K

Prescribing Profile

187

Unique Drugs

$276K

IRA Negotiated Drugs

$35K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

78

Avg Age

67%

Female

3.14

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