⚠️

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 →

Sindhu JamesMD

Internal Medicine · Baltimore, MD 21244

NPI: 1124183462

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,034

Total Claims

$413K

Drug Cost

716

Beneficiaries

$577

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-44%

Opioid rate vs peers

1.3% vs 2.2% avg

-59%

Cost per patient vs peers

$577 vs $1,411 avg

+9%

Brand preference vs peers

11.6% 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

1.3%

Opioid Rate

114

Opioid Claims

$2,919

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,028 claims · $278K

Generic: 7,836 claims · $131K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin108$57K
Apixaban41$47K
Dabigatran Etexilate Mesylate136$39K
Tiotropium Bromide36$21K
Rivaroxaban35$18K
Atorvastatin Calcium1,069$15K
Varicella-Zoster Ge/As01b/Pf58$11K
Fluticasone Propion/Salmeterol46$10K
Amlodipine Besylate724$8,416
Tiotropium Br/Olodaterol Hcl13$6,994
Insulin Nph Human Isophane59$6,324
Insulin Nph Human Isophane59$5,840
Levothyroxine Sodium249$5,491
Lisinopril422$5,092
Insulin Nph Hum/Reg Insulin Hm27$4,992

Prescribing Profile

105

Unique Drugs

$122K

IRA Negotiated Drugs

9.0

Anomaly Score

Patient Profile

74

Avg Age

63%

Female

1.21

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