⚠️

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 →

Rami AshkarMD

Internal Medicine · Springfield, MA 1107

NPI: 1134158058

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

12,254

Total Claims

$1.1M

Drug Cost

809

Beneficiaries

$1,403

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-71%

Opioid rate vs peers

0.7% vs 2.2% avg

-1%

Cost per patient vs peers

$1,403 vs $1,411 avg

+72%

Brand preference vs peers

18.3% 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

0.7%

Opioid Rate

80

Opioid Claims

$559

Opioid Cost

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 2,241 claims · $820K

Generic: 9,985 claims · $314K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban592$159K
Interferon Beta-1a13$103K
Etanercept12$89K
Elviteg/Cob/Emtri/Tenof Alafen12$49K
Dolutegravir Sodium17$35K
Insulin Glargine,hum.Rec.Anlog139$23K
Budesonide/Formoterol Fumarate57$23K
Sevelamer Carbonate61$19K
Sitagliptin Phosphate60$19K
Fluticasone/Vilanterol43$18K
Sacubitril/Valsartan52$17K
Dulaglutide42$17K
Fluticasone/Umeclidin/Vilanter35$17K
Lanthanum Carbonate21$14K
Tiotropium Bromide83$14K

Prescribing Profile

158

Unique Drugs

$319K

IRA Negotiated Drugs

$17K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

79

Avg Age

64%

Female

2.62

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