⚠️

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 →

Ravish NarvelMD

Internal Medicine · Jacksonville, FL 32205

NPI: 1124088604

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26

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

17,691

Total Claims

$1.2M

Drug Cost

551

Beneficiaries

$2,252

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-37%

Opioid rate vs peers

1.4% vs 2.2% avg

+60%

Cost per patient vs peers

$2,252 vs $1,411 avg

+34%

Brand preference vs peers

14.2% 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

1.4%

Opioid Rate

250

Opioid Claims

$3,628

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,505 claims · $828K

Generic: 15,125 claims · $410K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban399$179K
Sitagliptin Phosphate150$69K
Semaglutide44$49K
Dulaglutide74$45K
Linagliptin86$34K
Brivaracetam49$32K
Empagliflozin67$31K
Sacubitril/Valsartan22$20K
Mirabegron32$19K
Insulin Aspart121$18K
Insulin Aspart58$18K
Insulin Detemir46$15K
Atorvastatin Calcium774$15K
Fluticasone/Vilanterol34$14K
Dapagliflozin Propanediol21$13K

Prescribing Profile

212

Unique Drugs

$360K

IRA Negotiated Drugs

$94K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

77

Avg Age

63%

Female

2.13

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