⚠️

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 →

Nihar BhowmikM.D.

Internal Medicine · Portsmouth, VA 23704

NPI: 1134173396

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24

🟡 Moderate

ML Fraud Detection Score: 84%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

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Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

12,312

Total Claims

$684K

Drug Cost

566

Beneficiaries

$1,209

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

-92%

Opioid rate vs peers

0.2% vs 2.2% avg

-14%

Cost per patient vs peers

$1,209 vs $1,411 avg

-13%

Brand preference vs peers

9.3% 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

🤖

ML fraud detection score of 84% indicates prescribing patterns with significant similarity to confirmed fraud cases. 17 out of 20 decision trees flagged this provider.

⚠️

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

0.2%

Opioid Rate

23

Opioid Claims

$367

Opioid Cost

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 1,124 claims · $512K

Generic: 11,012 claims · $166K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin77$61K
Insulin Glargine,hum.Rec.Anlog110$60K
Sitagliptin Phosphate58$54K
Apixaban75$53K
Fluticasone/Umeclidin/Vilanter29$20K
Insulin Detemir21$18K
Linaclotide28$17K
Budesonide/Formoterol Fumarate38$16K
Rivaroxaban21$12K
Insulin Aspart11$12K
Colchicine31$11K
Mirabegron12$10K
Albuterol Sulfate322$9,754
Atorvastatin Calcium738$8,185
Insulin Lispro13$7,445

Prescribing Profile

138

Unique Drugs

$192K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

67

Avg Age

57%

Female

1.67

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