⚠️

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 →

Karl DhanaM.D.

Internal Medicine · West Palm Beach, FL 33417

NPI: 1134101124

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

16,162

Total Claims

$1.2M

Drug Cost

625

Beneficiaries

$1,859

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-11%

Opioid rate vs peers

2.0% vs 2.2% avg

+32%

Cost per patient vs peers

$1,859 vs $1,411 avg

+9%

Brand preference vs peers

11.5% 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

2.0%

Opioid Rate

321

Opioid Claims

$4,086

Opioid Cost

6.5%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,862 claims · $789K

Generic: 14,270 claims · $373K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban410$214K
Rivaroxaban133$72K
Pimavanserin Tartrate25$57K
Rotigotine44$31K
Fluticasone/Vilanterol67$31K
Mirabegron47$30K
Dapagliflozin Propanediol30$26K
Vibegron41$24K
Sacubitril/Valsartan59$22K
Methenamine Hippurate269$22K
Empagliflozin30$19K
Dextromethorphan Hbr/Quinidine24$18K
Sitagliptin Phosphate22$16K
Potassium Chloride298$14K
Memantine Hcl195$14K

Prescribing Profile

184

Unique Drugs

$373K

IRA Negotiated Drugs

$5,111

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

87

Avg Age

69%

Female

2.29

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