⚠️

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 →

Aryel NicoleauMD

Internal Medicine · Queens Village, NY 11428

NPI: 1093880957

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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

18,540

Total Claims

$3.6M

Drug Cost

1,478

Beneficiaries

$2,466

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. 110,156 Internal Medicine providers

-85%

Opioid rate vs peers

0.3% vs 2.2% avg

+75%

Cost per patient vs peers

$2,466 vs $1,411 avg

+29%

Brand preference vs peers

13.7% 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

0.3%

Opioid Rate

62

Opioid Claims

$755

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,493 claims · $3.1M

Generic: 15,731 claims · $494K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Immune Globul G/Gly/Iga Avg 4611$541K
Sitagliptin Phosphate202$296K
Empagliflozin93$152K
Apixaban113$139K
Linaclotide125$137K
Diclofenac Sodium30$110K
Deutetrabenazine12$88K
Dapagliflozin Propanediol49$81K
Semaglutide43$78K
Rivaroxaban61$66K
Sitagliptin Phos/Metformin Hcl44$63K
Insulin Glargine,hum.Rec.Anlog93$62K
Insulin Aspart54$60K
Diclofenac Sodium136$53K
Sacubitril/Valsartan43$53K

Prescribing Profile

185

Unique Drugs

$847K

IRA Negotiated Drugs

$207K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

76

Avg Age

63%

Female

1.20

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