⚠️

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 →

Amr NayelM.D.

Family Practice · Astoria, NY 11105

NPI: 1104939891

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28

🟡 Moderate

Risk Flags

High cost outlier (population + peer)Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

17,519

Total Claims

$7.4M

Drug Cost

553

Beneficiaries

$13K

Cost/Patient

Risk Score Breakdown 28/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Cost per patient outlier+6
Elderly antipsychotic prescribing+5
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-66%

Opioid rate vs peers

0.9% vs 2.6% avg

+1158%

Cost per patient vs peers

$13K vs $1,068 avg

+169%

Brand preference vs peers

24.2% vs 9.0% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

⚠️ 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

💰

Cost per patient is 1158% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

⚠️

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

0.9%

Opioid Rate

153

Opioid Claims

$1,694

Opioid Cost

Long-Acting Rate

Brand vs Generic

76% generic

Brand: 4,024 claims · $4.6M

Generic: 12,628 claims · $2.8M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Metformin Hcl161$567K
Omeprazole/Sodium Bicarbonate175$407K
Dulaglutide205$406K
Sitagliptin Phos/Metformin Hcl287$404K
Semaglutide199$340K
Empagliflozin155$231K
Lactulose53$226K
Dapagliflozin Propanediol164$201K
Cinacalcet Hcl71$200K
Sitagliptin Phosphate149$197K
Diclofenac Sodium397$196K
Diclofenac Potassium69$180K
Rifaximin32$144K
Insulin Aspart152$143K
Naproxen/Esomeprazole Mag74$135K

Prescribing Profile

199

Unique Drugs

$974K

IRA Negotiated Drugs

$883K

GLP-1 Drugs

28.0

Anomaly Score

Patient Profile

70

Avg Age

40%

Female

1.25

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