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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 →

Ramy TomaMD

Internal Medicine · Birmingham, AL 35211

NPI: 1083766604

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

20,228

Total Claims

$2.6M

Drug Cost

1,191

Beneficiaries

$2,202

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+117%

Opioid rate vs peers

4.9% vs 2.2% avg

+56%

Cost per patient vs peers

$2,202 vs $1,411 avg

+37%

Brand preference vs peers

14.5% 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

4.9%

Opioid Rate

983

Opioid Claims

$23K

Opioid Cost

1.5%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,907 claims · $2.2M

Generic: 17,110 claims · $429K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide305$409K
Dulaglutide201$276K
Empagliflozin170$195K
Apixaban175$145K
Sitagliptin Phosphate125$131K
Mirabegron94$82K
Insulin Degludec74$73K
Linaclotide64$66K
Linagliptin49$56K
Fluticasone/Umeclidin/Vilanter66$55K
Sacubitril/Valsartan39$48K
Tirzepatide33$47K
Dapagliflozin Propanediol35$45K
Insulin Glargine,hum.Rec.Anlog88$45K
Umeclidinium Brm/Vilanterol Tr69$40K

Prescribing Profile

200

Unique Drugs

$610K

IRA Negotiated Drugs

$732K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

62%

Female

1.94

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