⚠️

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 →

Xiaogang ZhangMD

Internal Medicine · Kalamazoo, MI 49007

NPI: 1083678601

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,263

Total Claims

$1.2M

Drug Cost

734

Beneficiaries

$1,590

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

+7%

Opioid rate vs peers

2.4% vs 2.2% avg

+13%

Cost per patient vs peers

$1,590 vs $1,411 avg

+42%

Brand preference vs peers

15.1% 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

2.4%

Opioid Rate

221

Opioid Claims

$20K

Opioid Cost

7.2%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,381 claims · $962K

Generic: 7,785 claims · $200K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban167$163K
Dulaglutide97$142K
Semaglutide62$100K
Fluticasone/Umeclidin/Vilanter90$74K
Rivaroxaban34$45K
Mirabegron42$35K
Dapagliflozin Propanediol33$32K
Insulin Aspart20$32K
Sitagliptin Phosphate18$24K
Insulin Detemir21$23K
Insulin Glargine,hum.Rec.Anlog29$21K
Budesonide/Formoterol Fumarate40$20K
Tapentadol Hcl12$17K
Atorvastatin Calcium724$15K
Rosuvastatin Calcium348$12K

Prescribing Profile

128

Unique Drugs

$297K

IRA Negotiated Drugs

$242K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

74

Avg Age

52%

Female

1.27

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