⚠️

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 →

Ramalingam SelvarajahM.D. INC

Family Practice · London, OH 43140

NPI: 1104912773

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26

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

16,949

Total Claims

$1.4M

Drug Cost

503

Beneficiaries

$2,802

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-31%

Opioid rate vs peers

1.8% vs 2.6% avg

+162%

Cost per patient vs peers

$2,802 vs $1,068 avg

+91%

Brand preference vs peers

17.1% 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

1.8%

Opioid Rate

300

Opioid Claims

$3,152

Opioid Cost

Long-Acting Rate

Brand vs Generic

83% generic

Brand: 2,883 claims · $1.0M

Generic: 13,930 claims · $382K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban349$126K
Bictegrav/Emtricit/Tenofov Ala13$53K
Dapagliflozin Propanediol90$51K
Fluticasone/Umeclidin/Vilanter114$47K
Sitagliptin Phosphate103$47K
Dulaglutide32$42K
Insulin Glargine,hum.Rec.Anlog180$41K
Empagliflozin61$40K
Rivaroxaban75$33K
Paliperidone Palmitate13$33K
Semaglutide27$32K
Budesonide/Formoterol Fumarate45$24K
Insulin Degludec21$20K
Mirabegron74$19K
Icosapent Ethyl66$14K

Prescribing Profile

198

Unique Drugs

$323K

IRA Negotiated Drugs

$74K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

73

Avg Age

54%

Female

1.57

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