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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 →

Amir Aref

Internal Medicine · Tacoma, WA 98493

NPI: 1063522126

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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

10,075

Total Claims

$853K

Drug Cost

367

Beneficiaries

$2,324

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

-48%

Opioid rate vs peers

1.2% vs 2.2% avg

+65%

Cost per patient vs peers

$2,324 vs $1,411 avg

+108%

Brand preference vs peers

22.1% 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

1.2%

Opioid Rate

118

Opioid Claims

$2,029

Opioid Cost

11.0%

Long-Acting Rate

Brand vs Generic

78% generic

Brand: 2,207 claims · $579K

Generic: 7,796 claims · $268K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban414$111K
Rivaroxaban197$54K
Rifaximin13$40K
Insulin Aspart58$22K
Mirabegron72$19K
Dulaglutide23$18K
Empagliflozin53$15K
Tiotropium Bromide56$14K
Insulin Detemir19$13K
Insulin Glargine,hum.Rec.Anlog62$12K
Insulin Detemir36$11K
Budesonide/Formoterol Fumarate26$11K
Atorvastatin Calcium587$9,862
Insulin Glargine,hum.Rec.Anlog24$9,678
Rivastigmine26$9,608

Prescribing Profile

154

Unique Drugs

$212K

IRA Negotiated Drugs

$18K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

79

Avg Age

59%

Female

2.63

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