⚠️

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 →

Pranjalkumar PatelM.D.

Family Practice · Tracy, CA 95376

NPI: 1225233133

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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

26,941

Total Claims

$3.4M

Drug Cost

1,336

Beneficiaries

$2,563

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. 106,889 Family Practice providers

+27%

Opioid rate vs peers

3.3% vs 2.6% avg

+140%

Cost per patient vs peers

$2,563 vs $1,068 avg

+81%

Brand preference vs peers

16.3% vs 9.0% 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

3.3%

Opioid Rate

881

Opioid Claims

$30K

Opioid Cost

9.6%

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 4,359 claims · $2.8M

Generic: 22,370 claims · $566K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide387$460K
Dapagliflozin Propanediol329$374K
Apixaban440$262K
Empagliflozin199$219K
Denosumab78$133K
Fluticasone/Umeclidin/Vilanter136$109K
Dulaglutide71$96K
Semaglutide42$90K
Sitagliptin Phosphate76$66K
Mirabegron73$62K
Fluticasone/Vilanterol161$58K
Rivaroxaban50$57K
Linagliptin114$55K
Insulin Glargine,hum.Rec.Anlog200$54K
Insulin Aspart120$50K

Prescribing Profile

231

Unique Drugs

$1.0M

IRA Negotiated Drugs

$667K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

76

Avg Age

58%

Female

1.80

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