⚠️

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 →

James IserniaM.D.

Internal Medicine · Myrtle Beach, SC 29572

NPI: 1144281148

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25

🟡 Moderate

Risk Flags

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,319

Total Claims

$860K

Drug Cost

959

Beneficiaries

$897

Cost/Patient

Risk Score Breakdown 25/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+2%

Opioid rate vs peers

2.3% vs 2.2% avg

-36%

Cost per patient vs peers

$897 vs $1,411 avg

-7%

Brand preference vs peers

9.9% 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

2.3%

Opioid Rate

235

Opioid Claims

$2,736

Opioid Cost

14.9%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,015 claims · $669K

Generic: 9,234 claims · $189K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide85$116K
Empagliflozin47$67K
Apixaban66$59K
Tirzepatide35$43K
Rivaroxaban39$43K
Dapagliflozin Propanediol29$36K
Fluticasone/Umeclidin/Vilanter23$23K
Sitagliptin Phosphate14$22K
Insulin Glargine,hum.Rec.Anlog22$17K
Mirabegron17$17K
Evolocumab11$15K
Budesonide/Formoterol Fumarate16$11K
Insulin Glargine,hum.Rec.Anlog15$9,003
Linaclotide13$8,824
Fluticasone Propion/Salmeterol13$6,925

Prescribing Profile

159

Unique Drugs

$227K

IRA Negotiated Drugs

$159K

GLP-1 Drugs

25.0

Anomaly Score

Patient Profile

74

Avg Age

51%

Female

1.22

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