⚠️

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 →

Nirupa VignarajanM.D.

Internal Medicine · Glendale, CA 91205

NPI: 1073514261

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13

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

11,948

Total Claims

$1.4M

Drug Cost

408

Beneficiaries

$3,401

Cost/Patient

Risk Score Breakdown 13/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-80%

Opioid rate vs peers

0.4% vs 2.2% avg

+141%

Cost per patient vs peers

$3,401 vs $1,411 avg

+46%

Brand preference vs peers

15.5% 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

53

Opioid Claims

$261

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,826 claims · $1.1M

Generic: 9,932 claims · $330K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate102$125K
Empagliflozin96$123K
Denosumab61$105K
Icosapent Ethyl273$102K
Linagliptin84$88K
Sitagliptin Phos/Metformin Hcl76$71K
Diclofenac Sodium19$53K
Mirabegron78$52K
Dexlansoprazole201$50K
Apixaban59$43K
Omeprazole/Sodium Bicarbonate12$33K
Fluticasone/Vilanterol58$29K
Linaclotide50$28K
Diclofenac Sodium293$25K
Fluticasone Propion/Salmeterol28$19K

Prescribing Profile

121

Unique Drugs

$305K

IRA Negotiated Drugs

13.0

Anomaly Score

Patient Profile

77

Avg Age

74%

Female

1.32

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