⚠️

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 →

Sirjana Dhungana ParajuliMD

Internal Medicine · Wareham, MA 2571

NPI: 1063606473

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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

10,121

Total Claims

$642K

Drug Cost

768

Beneficiaries

$836

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. 110,156 Internal Medicine providers

-82%

Opioid rate vs peers

0.4% vs 2.2% avg

-41%

Cost per patient vs peers

$836 vs $1,411 avg

-17%

Brand preference vs peers

8.8% 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

0.4%

Opioid Rate

40

Opioid Claims

$244

Opioid Cost

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 887 claims · $460K

Generic: 9,147 claims · $179K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide68$86K
Apixaban94$81K
Semaglutide25$34K
Semaglutide12$25K
Sitagliptin Phosphate19$21K
Rivaroxaban19$21K
Linagliptin28$20K
Rosuvastatin Calcium275$19K
Budesonide/Formoterol Fumarate41$18K
Tiotropium Bromide12$15K
Atorvastatin Calcium623$12K
Ipratropium/Albuterol Sulfate17$8,679
Fluticasone/Umeclidin/Vilanter11$7,511
Fluticasone Propionate20$7,029
Omeprazole402$6,354

Prescribing Profile

117

Unique Drugs

$123K

IRA Negotiated Drugs

$144K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

80%

Female

1.09

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