⚠️

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 →

Alireza ShirvaniM.D.

Internal Medicine · Great Neck, NY 11021

NPI: 1073769154

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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

14,513

Total Claims

$1.1M

Drug Cost

523

Beneficiaries

$2,023

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

-27%

Opioid rate vs peers

1.6% vs 2.2% avg

+43%

Cost per patient vs peers

$2,023 vs $1,411 avg

+60%

Brand preference vs peers

17.1% 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

1.6%

Opioid Rate

238

Opioid Claims

$12K

Opioid Cost

13.9%

Long-Acting Rate

Brand vs Generic

83% generic

Brand: 2,460 claims · $753K

Generic: 11,959 claims · $299K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban711$203K
Rivaroxaban152$44K
Empagliflozin105$40K
Rifaximin19$34K
Collagenase Clostridium Hist.36$32K
Epoetin Alfa26$29K
Dapagliflozin Propanediol64$20K
Umeclidinium Bromide67$17K
Dextromethorphan Hbr/Quinidine22$17K
Lipase/Protease/Amylase23$16K
Patiromer Calcium Sorbitex20$15K
Potassium Chloride271$12K
Budesonide/Formoterol Fumarate31$12K
Mirabegron53$12K
Linagliptin42$11K

Prescribing Profile

178

Unique Drugs

$335K

IRA Negotiated Drugs

$11K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

81

Avg Age

63%

Female

2.51

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