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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.

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Bikash AgarwalMD

Internal Medicine · Michigan City, IN 46360

NPI: 1093700825

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12

🟢 Low

Risk Flags

High antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

13,385

Total Claims

$980K

Drug Cost

788

Beneficiaries

$1,243

Cost/Patient

Risk Score Breakdown 12/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-90%

Opioid rate vs peers

0.2% vs 2.2% avg

-12%

Cost per patient vs peers

$1,243 vs $1,411 avg

+10%

Brand preference vs peers

11.7% vs 10.6% avg

Opioid Prescribing

0.2%

Opioid Rate

30

Opioid Claims

$169

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,553 claims · $750K

Generic: 11,732 claims · $222K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Fluticasone/Umeclidin/Vilanter102$127K
Apixaban266$117K
Sitagliptin Phosphate43$48K
Insulin Glargine,hum.Rec.Anlog66$38K
Rivaroxaban54$36K
Insulin Glargine,hum.Rec.Anlog33$28K
Fluticasone/Vilanterol53$27K
Empagliflozin46$24K
Umeclidinium Brm/Vilanterol Tr48$23K
Insulin Glargine,hum.Rec.Anlog11$22K
Semaglutide13$20K
Rifaximin22$18K
Insulin Aspart24$17K
Sacubitril/Valsartan46$17K
Mirabegron89$16K

Prescribing Profile

129

Unique Drugs

$259K

IRA Negotiated Drugs

$20K

GLP-1 Drugs

12.0

Anomaly Score

Patient Profile

77

Avg Age

56%

Female

1.85

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