⚠️

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 →

Koshilie GunadasaMD

Family Practice · Lincolnton, NC 28092

NPI: 1093036337

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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

18,057

Total Claims

$1.5M

Drug Cost

959

Beneficiaries

$1,580

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. 106,889 Family Practice providers

-50%

Opioid rate vs peers

1.3% vs 2.6% avg

+48%

Cost per patient vs peers

$1,580 vs $1,068 avg

+18%

Brand preference vs peers

10.6% vs 9.0% 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

1.3%

Opioid Rate

234

Opioid Claims

$1,672

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,903 claims · $1.2M

Generic: 15,967 claims · $282K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide241$318K
Apixaban102$104K
Insulin Degludec70$74K
Dulaglutide57$74K
Tirzepatide50$58K
Mirabegron57$54K
Fluticasone/Vilanterol56$37K
Dapagliflozin Propanediol25$37K
Liraglutide12$32K
Empagliflozin22$29K
Liraglutide18$28K
Insulin Glargine,hum.Rec.Anlog53$27K
Linagliptin20$26K
Sitagliptin Phosphate25$24K
Insulin Detemir34$24K

Prescribing Profile

157

Unique Drugs

$233K

IRA Negotiated Drugs

$509K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

73

Avg Age

77%

Female

1.24

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