⚠️

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 →

Hanriet Minasian-ArakelianD.O.

Internal Medicine · Glendale, CA 91208

NPI: 1194765594

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28

🟡 Moderate

Risk Flags

High cost outlier (population + peer)Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

18,470

Total Claims

$3.6M

Drug Cost

396

Beneficiaries

$8,999

Cost/Patient

Risk Score Breakdown 28/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Cost per patient outlier+6
Elderly antipsychotic prescribing+5
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-79%

Opioid rate vs peers

0.5% vs 2.2% avg

+538%

Cost per patient vs peers

$8,999 vs $1,411 avg

+97%

Brand preference vs peers

21.0% 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

💰

Cost per patient is 538% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

⚠️

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

0.5%

Opioid Rate

86

Opioid Claims

$815

Opioid Cost

Long-Acting Rate

Brand vs Generic

79% generic

Brand: 3,807 claims · $2.2M

Generic: 14,343 claims · $1.3M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Omeprazole/Sodium Bicarbonate183$433K
Metformin Hcl62$361K
Icosapent Ethyl549$216K
Lipase/Protease/Amylase67$139K
Fluticasone/Umeclidin/Vilanter143$105K
Dulaglutide91$101K
Mirabegron145$83K
Dihydroergotamine Mesylate38$82K
Linaclotide115$77K
Apixaban82$70K
Alirocumab105$59K
Linagliptin90$57K
Empagliflozin50$52K
Fluticasone/Vilanterol103$51K
Dexlansoprazole182$50K

Prescribing Profile

213

Unique Drugs

$241K

IRA Negotiated Drugs

$189K

GLP-1 Drugs

28.0

Anomaly Score

Patient Profile

73

Avg Age

68%

Female

1.12

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