⚠️

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 →

Gregory BugajMD

Internal Medicine · Winston Salem, NC 27106

NPI: 1093773699

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24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

12,678

Total Claims

$1.1M

Drug Cost

406

Beneficiaries

$2,695

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-53%

Opioid rate vs peers

1.0% vs 2.2% avg

+91%

Cost per patient vs peers

$2,695 vs $1,411 avg

+38%

Brand preference vs peers

14.7% 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

1.0%

Opioid Rate

133

Opioid Claims

$7,817

Opioid Cost

13.5%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,863 claims · $728K

Generic: 10,791 claims · $365K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban319$146K
Sitagliptin Phosphate147$74K
Dulaglutide63$55K
Elviteg/Cob/Emtri/Tenof Alafen11$40K
Darunavir/Cobicistat24$28K
Atorvastatin Calcium689$24K
Linagliptin65$23K
Rivaroxaban41$18K
Fluticasone Propion/Salmeterol37$18K
Mirabegron48$16K
Empagliflozin32$15K
Linaclotide31$14K
Insulin Detemir43$14K
Memantine Hcl/Donepezil Hcl24$14K
Levetiracetam249$13K

Prescribing Profile

165

Unique Drugs

$271K

IRA Negotiated Drugs

$55K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

78

Avg Age

70%

Female

2.94

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