⚠️

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 →

Marina ManvelyanMD

Internal Medicine · Pasadena, CA 91107

NPI: 1215925409

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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

19,031

Total Claims

$2.3M

Drug Cost

661

Beneficiaries

$3,419

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

-24%

Opioid rate vs peers

1.7% vs 2.2% avg

+142%

Cost per patient vs peers

$3,419 vs $1,411 avg

+56%

Brand preference vs peers

16.5% 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

1.7%

Opioid Rate

323

Opioid Claims

$5,285

Opioid Cost

6.5%

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 3,108 claims · $1.8M

Generic: 15,688 claims · $463K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol222$169K
Apixaban213$160K
Semaglutide118$130K
Ubrogepant14$88K
Icosapent Ethyl272$86K
Sitagliptin Phosphate126$84K
Lipase/Protease/Amylase93$83K
Linagliptin101$78K
Dulaglutide63$77K
Empagliflozin75$64K
Rivaroxaban63$54K
Evolocumab76$51K
Sacubitril/Valsartan53$43K
Linaclotide73$42K
Omeprazole/Sodium Bicarbonate15$39K

Prescribing Profile

212

Unique Drugs

$575K

IRA Negotiated Drugs

$218K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

77

Avg Age

70%

Female

1.95

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