⚠️

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 →

David LombardiMD

Internal Medicine · Howell, NJ 7731

NPI: 1144368358

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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

13,279

Total Claims

$988K

Drug Cost

1,157

Beneficiaries

$854

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. 110,156 Internal Medicine providers

-10%

Opioid rate vs peers

2.0% vs 2.2% avg

-40%

Cost per patient vs peers

$854 vs $1,411 avg

-2%

Brand preference vs peers

10.5% 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

2.0%

Opioid Rate

268

Opioid Claims

$14K

Opioid Cost

6.7%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,378 claims · $725K

Generic: 11,787 claims · $257K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban102$96K
Fluticasone/Umeclidin/Vilanter100$79K
Semaglutide58$69K
Empagliflozin72$66K
Sitagliptin Phosphate45$47K
Rivaroxaban24$27K
Insulin Lispro27$26K
Fluticasone/Vilanterol39$24K
Tirzepatide13$21K
Insulin Glargine,hum.Rec.Anlog21$19K
Mirabegron25$19K
Dulaglutide16$16K
Fluticasone Propionate25$12K
Levothyroxine Sodium683$12K
Dapagliflozin Propanediol11$12K

Prescribing Profile

155

Unique Drugs

$248K

IRA Negotiated Drugs

$106K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

78

Avg Age

56%

Female

1.09

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