⚠️

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 →

Hima PunukolluMD

Internal Medicine · Brooklyn, NY 11226

NPI: 1104989490

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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

9,592

Total Claims

$1.4M

Drug Cost

847

Beneficiaries

$1,620

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. 110,156 Internal Medicine providers

-93%

Opioid rate vs peers

0.2% vs 2.2% avg

+15%

Cost per patient vs peers

$1,620 vs $1,411 avg

+27%

Brand preference vs peers

13.5% 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

0.2%

Opioid Rate

16

Opioid Claims

$39

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,240 claims · $1.1M

Generic: 7,970 claims · $221K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin121$192K
Dulaglutide88$161K
Sitagliptin Phosphate82$133K
Apixaban111$123K
Semaglutide63$117K
Rivaroxaban34$47K
Sacubitril/Valsartan21$34K
Insulin Aspart58$34K
Insulin Glargine,hum.Rec.Anlog66$29K
Dapagliflozin Propanediol17$26K
Insulin Detemir53$25K
Insulin Glargine/Lixisenatide17$20K
Amlodipine Besylate/Valsartan239$16K
Insulin Aspart Prot/Insuln Asp18$15K
Atorvastatin Calcium780$15K

Prescribing Profile

102

Unique Drugs

$589K

IRA Negotiated Drugs

$277K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

73%

Female

1.00

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