⚠️

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 →

Stephen MastrianniDO

Internal Medicine · Brooklyn, NY 11214

NPI: 1174518211

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24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

19,996

Total Claims

$1.7M

Drug Cost

667

Beneficiaries

$2,590

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+9%

Opioid rate vs peers

2.4% vs 2.2% avg

+84%

Cost per patient vs peers

$2,590 vs $1,411 avg

+62%

Brand preference vs peers

17.2% 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

486

Opioid Claims

$14K

Opioid Cost

9.7%

Long-Acting Rate

Brand vs Generic

83% generic

Brand: 3,415 claims · $1.2M

Generic: 16,414 claims · $533K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban632$264K
Brexpiprazole64$96K
Sitagliptin Phosphate143$72K
Fluticasone/Vilanterol107$51K
Rivaroxaban123$49K
Dulaglutide23$34K
Sacubitril/Valsartan47$32K
Insulin Aspart42$30K
Budesonide/Formoterol Fumarate74$30K
Semaglutide29$28K
Linaclotide42$27K
Fluticasone/Umeclidin/Vilanter37$27K
Omeprazole/Sodium Bicarbonate15$25K
Insulin Glargine,hum.Rec.Anlog97$25K
Cariprazine Hcl19$22K

Prescribing Profile

219

Unique Drugs

$460K

IRA Negotiated Drugs

$79K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

79

Avg Age

69%

Female

1.75

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