⚠️

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 →

Athmaram ShettyM.D.

Internal Medicine · Saint Louis, MO 63119

NPI: 1164416145

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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

17,979

Total Claims

$1.2M

Drug Cost

1,021

Beneficiaries

$1,146

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

+6%

Opioid rate vs peers

2.4% vs 2.2% avg

-19%

Cost per patient vs peers

$1,146 vs $1,411 avg

-4%

Brand preference vs peers

10.2% 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

2.4%

Opioid Rate

426

Opioid Claims

$4,128

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,832 claims · $857K

Generic: 16,056 claims · $308K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban250$178K
Empagliflozin59$63K
Sitagliptin Phosphate56$61K
Semaglutide39$48K
Fluticasone/Umeclidin/Vilanter51$42K
Rivaroxaban53$39K
Semaglutide36$37K
Insulin Glargine,hum.Rec.Anlog38$32K
Mirabegron57$30K
Dulaglutide11$28K
Rsvpref3 Antigen/As01e/Pf67$21K
Insulin Lispro13$20K
Tiotropium Bromide26$17K
Fluticasone Propion/Salmeterol55$15K
Ipratropium/Albuterol Sulfate26$14K

Prescribing Profile

190

Unique Drugs

$360K

IRA Negotiated Drugs

$113K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

75

Avg Age

58%

Female

1.29

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