⚠️

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 →

Laura RyanM.D.

Internal Medicine · Downey, CA 90241

NPI: 1114344173

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24

🟡 Moderate

Risk Flags

High long-acting opioid rate vs peersElevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,580

Total Claims

$1.6M

Drug Cost

847

Beneficiaries

$1,884

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-75%

Opioid rate vs peers

0.6% vs 2.2% avg

+33%

Cost per patient vs peers

$1,884 vs $1,411 avg

+51%

Brand preference vs peers

16.1% 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

0.6%

Opioid Rate

53

Opioid Claims

$4,365

Opioid Cost

24.5%

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 1,515 claims · $1.4M

Generic: 7,904 claims · $193K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide226$368K
Dapagliflozin Propanediol114$138K
Empagliflozin84$109K
Apixaban96$102K
Linaclotide68$97K
Semaglutide58$75K
Sitagliptin Phosphate55$68K
Fluticasone/Umeclidin/Vilanter51$39K
Insulin Glargine,hum.Rec.Anlog59$38K
Insulin Nph Hum/Reg Insulin Hm54$33K
Sitagliptin Phos/Metformin Hcl22$23K
Rivaroxaban13$20K
Liraglutide13$17K
Sitagliptin Phos/Metformin Hcl11$16K
Atorvastatin Calcium740$15K

Prescribing Profile

128

Unique Drugs

$441K

IRA Negotiated Drugs

$460K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

75

Avg Age

77%

Female

1.73

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