⚠️

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 →

Lawrence HitzemanM.D.

Internal Medicine · New York, NY 10001

NPI: 1124248463

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22

🟡 Moderate

Risk Flags

High cost outlier (population + peer)Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,547

Total Claims

$5.4M

Drug Cost

530

Beneficiaries

$10K

Cost/Patient

Risk Score Breakdown 22/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Cost per patient outlier+6
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+23%

Opioid rate vs peers

2.7% vs 2.2% avg

+616%

Cost per patient vs peers

$10K vs $1,411 avg

+120%

Brand preference vs peers

23.4% 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

💰

Cost per patient is 616% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

⚠️

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

262

Opioid Claims

$9,798

Opioid Cost

6.5%

Long-Acting Rate

Brand vs Generic

77% generic

Brand: 2,221 claims · $5.0M

Generic: 7,283 claims · $394K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Bictegrav/Emtricit/Tenofov Ala322$1.4M
Somatropin25$477K
Elviteg/Cob/Emtri/Tenof Alafen55$308K
Raltegravir Potassium143$307K
Emtricitabine/Tenofov Alafenam120$294K
Dolutegravir Sodium/Lamivudine75$257K
Emtricitab/Rilpiviri/Tenof Ala60$243K
Darunavir104$235K
Darunavir/Cob/Emtri/Tenof Alaf40$219K
Abacavir/Dolutegravir/Lamivudi55$211K
Apixaban106$124K
Dolutegravir/Rilpivirine33$120K
Empagliflozin85$72K
Enfuvirtide14$54K
Etravirine46$53K

Prescribing Profile

165

Unique Drugs

$258K

IRA Negotiated Drugs

$25K

GLP-1 Drugs

22.0

Anomaly Score

Patient Profile

72

Avg Age

37%

Female

1.11

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