⚠️

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 →

Liliya LotsvinM.D.

Internal Medicine · Bronx, NY 10463

NPI: 1144221110

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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

9,695

Total Claims

$753K

Drug Cost

624

Beneficiaries

$1,207

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

-82%

Opioid rate vs peers

0.4% vs 2.2% avg

-14%

Cost per patient vs peers

$1,207 vs $1,411 avg

+9%

Brand preference vs peers

11.6% 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

0.4%

Opioid Rate

38

Opioid Claims

$366

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,113 claims · $569K

Generic: 8,501 claims · $183K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban165$147K
Sitagliptin Phosphate82$63K
Dapagliflozin Propanediol54$39K
Semaglutide40$38K
Dulaglutide32$37K
Diclofenac Sodium64$22K
Rivaroxaban24$21K
Fluticasone Propionate69$19K
Mirabegron29$18K
Icosapent Ethyl43$14K
Dexlansoprazole46$12K
Linaclotide16$11K
Fluticasone/Vilanterol20$8,875
Rosuvastatin Calcium455$7,435
Levothyroxine Sodium136$7,188

Prescribing Profile

118

Unique Drugs

$270K

IRA Negotiated Drugs

$75K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

80

Avg Age

74%

Female

1.23

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