⚠️

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 →

Kinal PatelD.O.

Internal Medicine · Flagstaff, AZ 86004

NPI: 1063862480

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,155

Total Claims

$1.2M

Drug Cost

603

Beneficiaries

$1,946

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-72%

Opioid rate vs peers

0.6% vs 2.2% avg

+38%

Cost per patient vs peers

$1,946 vs $1,411 avg

+44%

Brand preference vs peers

15.3% 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

0.6%

Opioid Rate

57

Opioid Claims

$274

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,385 claims · $1.0M

Generic: 7,674 claims · $159K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Fluticasone/Umeclidin/Vilanter89$124K
Apixaban111$105K
Dulaglutide67$99K
Rivaroxaban48$64K
Empagliflozin33$59K
Sitagliptin Phosphate52$57K
Liraglutide21$47K
Semaglutide27$44K
Insulin Glargine,hum.Rec.Anlog61$44K
Insulin Aspart41$42K
Mirabegron39$24K
Budesonide/Formoterol Fumarate32$21K
Insulin Lispro21$18K
Dapagliflozin Propanediol19$17K
Insulin Glargine,hum.Rec.Anlog23$13K

Prescribing Profile

117

Unique Drugs

$343K

IRA Negotiated Drugs

$190K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

71

Avg Age

57%

Female

1.25

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