⚠️

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 →

Rama NaiduMD FACP

Internal Medicine · Saint Louis, MO 63127

NPI: 1114978483

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

11,782

Total Claims

$1.2M

Drug Cost

684

Beneficiaries

$1,760

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+19%

Opioid rate vs peers

2.7% vs 2.2% avg

+25%

Cost per patient vs peers

$1,760 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

2.7%

Opioid Rate

315

Opioid Claims

$5,297

Opioid Cost

7.9%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,578 claims · $996K

Generic: 10,104 claims · $203K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide101$139K
Empagliflozin138$124K
Apixaban104$101K
Liraglutide30$80K
Dulaglutide51$73K
Dapagliflozin Propanediol50$46K
Rsvpref3 Antigen/As01e/Pf115$36K
Fluticasone/Umeclidin/Vilanter39$33K
Semaglutide23$29K
Sitagliptin Phosphate18$23K
Umeclidinium Brm/Vilanterol Tr39$22K
Insulin Degludec21$21K
Rsv Vacc, Pref A And Pref B/Pf62$20K
Budesonide/Formoterol Fumarate39$20K
Empagliflozin/Metformin Hcl11$20K

Prescribing Profile

158

Unique Drugs

$310K

IRA Negotiated Drugs

$322K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

72%

Female

1.06

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