⚠️

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 →

Subir GuhaM.D.

Family Practice · Gallatin, TN 37066

NPI: 1104871029

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15

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

16,594

Total Claims

$1.9M

Drug Cost

937

Beneficiaries

$1,987

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-88%

Opioid rate vs peers

0.3% vs 2.6% avg

+86%

Cost per patient vs peers

$1,987 vs $1,068 avg

+56%

Brand preference vs peers

14.0% 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

0.3%

Opioid Rate

51

Opioid Claims

$227

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,286 claims · $1.5M

Generic: 14,043 claims · $322K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Fluticasone/Umeclidin/Vilanter166$129K
Dulaglutide101$126K
Semaglutide94$111K
Rivaroxaban78$84K
Insulin Glargine,hum.Rec.Anlog85$73K
Empagliflozin65$63K
Apixaban67$63K
Insulin Glargine,hum.Rec.Anlog39$62K
Insulin Pump Cart,cont Inf,bt40$56K
Sitagliptin Phosphate57$47K
Fluticasone Propion/Salmeterol80$47K
Lipase/Protease/Amylase13$40K
Insulin Aspart30$39K
Fluticasone/Vilanterol74$35K
Budesonide/Formoterol Fumarate46$22K

Prescribing Profile

181

Unique Drugs

$329K

IRA Negotiated Drugs

$236K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

71

Avg Age

55%

Female

1.41

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