⚠️

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 →

Jestin ChengMD

Internal Medicine · Sacramento, CA 95823

NPI: 1083792725

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,795

Total Claims

$438K

Drug Cost

974

Beneficiaries

$450

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

-18%

Opioid rate vs peers

1.8% vs 2.2% avg

-68%

Cost per patient vs peers

$450 vs $1,411 avg

-26%

Brand preference vs peers

7.8% 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

1.8%

Opioid Rate

180

Opioid Claims

$2,904

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 759 claims · $272K

Generic: 8,943 claims · $164K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin90$71K
Apixaban22$37K
Tiotropium Bromide32$26K
Linagliptin29$21K
Fluticasone Propion/Salmeterol30$14K
Ciclesonide77$12K
Atorvastatin Calcium881$12K
Fluticasone Propion/Salmeterol63$10K
Dabigatran Etexilate Mesylate32$10K
Amlodipine Besylate615$7,625
Insulin Nph Human Isophane49$7,602
Budesonide/Formoterol Fumarate21$7,521
Losartan Potassium514$6,824
Lisinopril502$6,240
Levothyroxine Sodium262$5,573

Prescribing Profile

112

Unique Drugs

$108K

IRA Negotiated Drugs

9.0

Anomaly Score

Patient Profile

75

Avg Age

48%

Female

1.30

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