⚠️

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 →

Nadarajan JanakanM.D.

Internal Medicine · Troy, MI 48098

NPI: 1134128812

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13

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

10,748

Total Claims

$1.4M

Drug Cost

498

Beneficiaries

$2,780

Cost/Patient

Risk Score Breakdown 13/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+17%

Opioid rate vs peers

2.6% vs 2.2% avg

+97%

Cost per patient vs peers

$2,780 vs $1,411 avg

+27%

Brand preference vs peers

13.6% 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

2.6%

Opioid Rate

282

Opioid Claims

$2,687

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,443 claims · $1.2M

Generic: 9,204 claims · $190K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin141$194K
Apixaban153$166K
Fluticasone/Umeclidin/Vilanter94$118K
Dulaglutide53$74K
Dapagliflozin Propanediol36$49K
Sacubitril/Valsartan24$46K
Insulin Glargine,hum.Rec.Anlog63$45K
Tirzepatide32$42K
Semaglutide35$42K
Budesonide/Formoterol Fumarate62$36K
Sitagliptin Phosphate38$35K
Semaglutide16$34K
Tiotropium Bromide25$25K
Insulin Aspart19$20K
Insulin Glargine,hum.Rec.Anlog20$18K

Prescribing Profile

132

Unique Drugs

$511K

IRA Negotiated Drugs

$193K

GLP-1 Drugs

13.0

Anomaly Score

Patient Profile

74

Avg Age

53%

Female

1.50

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