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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 →

Isam MararM.D.

Internal Medicine · Council Bluffs, IA 51501

NPI: 1104976109

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22

🟡 Moderate

Risk Flags

Elevated cost per beneficiaryElevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

14,038

Total Claims

$2.6M

Drug Cost

471

Beneficiaries

$5,580

Cost/Patient

Risk Score Breakdown 22/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
Cost per patient outlier+3
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-61%

Opioid rate vs peers

0.9% vs 2.2% avg

+295%

Cost per patient vs peers

$5,580 vs $1,411 avg

+101%

Brand preference vs peers

21.4% 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

0.9%

Opioid Rate

122

Opioid Claims

$1,192

Opioid Cost

Long-Acting Rate

Brand vs Generic

79% generic

Brand: 2,946 claims · $2.4M

Generic: 10,851 claims · $194K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide158$196K
Insulin Degludec113$189K
Dulaglutide149$183K
Tirzepatide145$170K
Dapagliflozin Propanediol202$170K
Empagliflozin125$122K
Insulin Degludec113$90K
Insulin Aspart73$85K
Fluticasone/Umeclidin/Vilanter90$72K
Apixaban100$70K
Insulin Glargine,hum.Rec.Anlog52$69K
Rivaroxaban80$65K
Insulin Aspart (Niacinamide)33$63K
Rifaximin16$53K
Insulin Lispro51$51K

Prescribing Profile

158

Unique Drugs

$586K

IRA Negotiated Drugs

$570K

GLP-1 Drugs

22.0

Anomaly Score

Patient Profile

70

Avg Age

51%

Female

1.49

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