⚠️

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 →

Vijaya PokalaM.D., F.A.C.C.

Cardiology · Nacogdoches, TX 75961

NPI: 1205847522

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

22,164

Total Claims

$4.1M

Drug Cost

1,397

Beneficiaries

$2,941

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 18,720 Cardiology providers

+93%

Cost per patient vs peers

$2,941 vs $1,524 avg

+38%

Brand preference vs peers

18.9% vs 13.7% 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

0.2%

Opioid Rate

37

Opioid Claims

$281

Opioid Cost

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 4,170 claims · $3.6M

Generic: 17,934 claims · $511K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban836$794K
Semaglutide438$531K
Empagliflozin297$351K
Dapagliflozin Propanediol365$341K
Sacubitril/Valsartan264$302K
Dulaglutide219$257K
Rivaroxaban204$196K
Sitagliptin Phosphate98$100K
Ticagrelor96$77K
Fluticasone/Umeclidin/Vilanter72$61K
Tirzepatide52$60K
Linagliptin37$38K
Atorvastatin Calcium2,039$34K
Budesonide/Formoterol Fumarate62$33K
Insulin Glargine,hum.Rec.Anlog77$31K

Prescribing Profile

145

Unique Drugs

$2.1M

IRA Negotiated Drugs

$876K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

73

Avg Age

52%

Female

1.84

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