⚠️

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 →

Venkat Kishan MaramrajMD

Family Practice · Salisbury, NC 28144

NPI: 1144266826

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

8,787

Total Claims

$1.1M

Drug Cost

695

Beneficiaries

$1,558

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-75%

Opioid rate vs peers

0.6% vs 2.6% avg

+46%

Cost per patient vs peers

$1,558 vs $1,068 avg

+44%

Brand preference vs peers

13.0% 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

0.6%

Opioid Rate

56

Opioid Claims

$391

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,131 claims · $939K

Generic: 7,585 claims · $139K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide120$144K
Apixaban92$108K
Dulaglutide25$64K
Dapagliflozin Propanediol49$63K
Insulin Degludec24$60K
Insulin Glargine,hum.Rec.Anlog47$55K
Empagliflozin47$47K
Sitagliptin Phosphate32$41K
Linaclotide19$26K
Rivaroxaban22$26K
Insulin Glargine,hum.Rec.Anlog27$25K
Fluticasone/Vilanterol46$23K
Insulin Detemir13$23K
Budesonide/Formoterol Fumarate25$20K
Tirzepatide12$19K

Prescribing Profile

132

Unique Drugs

$298K

IRA Negotiated Drugs

$245K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

73

Avg Age

59%

Female

1.43

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