⚠️

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 →

Joseph GabrielMD

Internal Medicine · Irmo, SC 29063

NPI: 1093773590

Share:

25

🟡 Moderate

Risk Flags

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,687

Total Claims

$1.1M

Drug Cost

795

Beneficiaries

$1,341

Cost/Patient

Risk Score Breakdown 25/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+201%

Opioid rate vs peers

6.7% vs 2.2% avg

-5%

Cost per patient vs peers

$1,341 vs $1,411 avg

+25%

Brand preference vs peers

13.3% 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

💊

Opioid rate is 201% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

⚠️

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

6.7%

Opioid Rate

719

Opioid Claims

$22K

Opioid Cost

15.6%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,410 claims · $861K

Generic: 9,200 claims · $199K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban99$111K
Empagliflozin60$73K
Rivaroxaban53$57K
Semaglutide42$47K
Insulin Glargine,hum.Rec.Anlog61$44K
Dulaglutide30$35K
Linaclotide33$27K
Mirabegron28$24K
Sitagliptin Phosphate17$23K
Fluticasone/Umeclidin/Vilanter21$21K
Dapagliflozin Propanediol14$21K
Insulin Detemir16$17K
Insulin Glargine/Lixisenatide19$16K
Insulin Lispro17$15K
Insulin Lispro12$13K

Prescribing Profile

150

Unique Drugs

$286K

IRA Negotiated Drugs

$82K

GLP-1 Drugs

25.0

Anomaly Score

Patient Profile

74

Avg Age

59%

Female

1.03

Avg Risk Score

Explore More

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