⚠️

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 →

Nikhil AgarwalM.D.

Internal Medicine · Cedar Park, TX 78613

NPI: 1124173513

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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

8,949

Total Claims

$1.1M

Drug Cost

882

Beneficiaries

$1,294

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

+44%

Opioid rate vs peers

3.2% vs 2.2% avg

-8%

Cost per patient vs peers

$1,294 vs $1,411 avg

+8%

Brand preference vs peers

11.4% 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

3.2%

Opioid Rate

288

Opioid Claims

$12K

Opioid Cost

10.4%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,016 claims · $991K

Generic: 7,868 claims · $145K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin92$166K
Sitagliptin Phosphate62$107K
Liraglutide23$78K
Dulaglutide40$69K
Insulin Glargine,hum.Rec.Anlog24$51K
Insulin Glargine,hum.Rec.Anlog37$40K
Semaglutide20$38K
Linaclotide26$36K
Exenatide Microspheres15$35K
Apixaban31$34K
Budesonide/Formoterol Fumarate57$31K
Fluticasone/Umeclidin/Vilanter25$28K
Linagliptin15$26K
Sitagliptin Phos/Metformin Hcl13$23K
Dapagliflozin Propanediol13$18K

Prescribing Profile

125

Unique Drugs

$325K

IRA Negotiated Drugs

$185K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

60%

Female

1.94

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