⚠️

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 →

Nedal AdiM.D.

Family Practice · Webster, TX 77598

NPI: 1093102477

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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

10,739

Total Claims

$1.3M

Drug Cost

657

Beneficiaries

$2,050

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. 106,889 Family Practice providers

-58%

Opioid rate vs peers

1.1% vs 2.6% avg

+92%

Cost per patient vs peers

$2,050 vs $1,068 avg

+77%

Brand preference vs peers

15.9% 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

1.1%

Opioid Rate

117

Opioid Claims

$874

Opioid Cost

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 1,700 claims · $1.1M

Generic: 8,975 claims · $258K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban228$119K
Sitagliptin Phosphate68$81K
Semaglutide57$67K
Empagliflozin51$43K
Paliperidone Palmitate12$42K
Dapagliflozin Propanediol76$41K
Exenatide Microspheres40$33K
Fondaparinux Sodium13$33K
Linagliptin60$31K
Rivaroxaban37$27K
Fluticasone/Umeclidin/Vilanter41$21K
Insulin Glargine,hum.Rec.Anlog61$21K
Sitagliptin Phos/Metformin Hcl13$19K
Linaclotide20$19K
Insulin Detemir19$18K

Prescribing Profile

154

Unique Drugs

$342K

IRA Negotiated Drugs

$67K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

71

Avg Age

54%

Female

1.98

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