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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 →

Nitu AryalM.D.

Internal Medicine · Sacramento, CA 95816

NPI: 1083870968

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

9,587

Total Claims

$993K

Drug Cost

541

Beneficiaries

$1,836

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+57%

Opioid rate vs peers

3.5% vs 2.2% avg

+30%

Cost per patient vs peers

$1,836 vs $1,411 avg

+6%

Brand preference vs peers

11.3% 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

3.5%

Opioid Rate

336

Opioid Claims

$11K

Opioid Cost

8.6%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,071 claims · $744K

Generic: 8,441 claims · $245K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate105$135K
Linaclotide53$74K
Dulaglutide43$72K
Apixaban74$68K
Semaglutide23$36K
Budesonide/Formoterol Fumarate50$29K
Insulin Glargine,hum.Rec.Anlog50$25K
Empagliflozin15$20K
Liraglutide12$14K
Fluticasone/Vilanterol27$14K
Estrogens, Conjugated30$13K
Insulin Glargine,hum.Rec.Anlog17$11K
Fluticasone Propion/Salmeterol40$10K
Fluticasone/Umeclidin/Vilanter15$10K
Dexlansoprazole23$9,604

Prescribing Profile

144

Unique Drugs

$222K

IRA Negotiated Drugs

$122K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

84%

Female

1.20

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