⚠️

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 →

Niraj ShahM.D.

Family Practice · Belleville, IL 62226

NPI: 1134440969

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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

22,042

Total Claims

$2.6M

Drug Cost

1,823

Beneficiaries

$1,449

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. 106,889 Family Practice providers

+38%

Opioid rate vs peers

3.5% vs 2.6% avg

+36%

Cost per patient vs peers

$1,449 vs $1,068 avg

+59%

Brand preference vs peers

14.3% vs 9.0% 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

3.5%

Opioid Rate

782

Opioid Claims

$16K

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 3,104 claims · $2.2M

Generic: 18,643 claims · $379K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide196$255K
Empagliflozin182$224K
Apixaban169$182K
Tirzepatide124$153K
Dulaglutide107$138K
Dapagliflozin Propanediol78$101K
Insulin Glargine,hum.Rec.Anlog151$97K
Sitagliptin Phosphate66$89K
Rivaroxaban80$80K
Linaclotide96$78K
Fluticasone/Umeclidin/Vilanter68$54K
Semaglutide32$51K
Insulin Aspart36$41K
Mirabegron49$36K
Linagliptin24$33K

Prescribing Profile

209

Unique Drugs

$760K

IRA Negotiated Drugs

$597K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

71

Avg Age

60%

Female

1.38

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