⚠️

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 →

Thomas MathewMD

Internal Medicine · New Hyde Park, NY 11040

NPI: 1245282136

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22

🟡 Moderate

Risk Flags

Elevated cost per beneficiaryElevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

20,857

Total Claims

$5.2M

Drug Cost

906

Beneficiaries

$5,734

Cost/Patient

Risk Score Breakdown 22/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
Cost per patient outlier+3
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-96%

Opioid rate vs peers

0.1% vs 2.2% avg

+306%

Cost per patient vs peers

$5,734 vs $1,411 avg

+84%

Brand preference vs peers

19.6% 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

0.1%

Opioid Rate

20

Opioid Claims

$167

Opioid Cost

Long-Acting Rate

Brand vs Generic

80% generic

Brand: 3,945 claims · $4.7M

Generic: 16,211 claims · $447K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide270$640K
Dapagliflozin Propanediol343$544K
Empagliflozin205$371K
Sitagliptin Phos/Metformin Hcl234$347K
Sitagliptin Phosphate161$239K
Insulin Aspart125$173K
Insulin Aspart Prot/Insuln Asp69$140K
Apixaban88$121K
Fluticasone/Umeclidin/Vilanter80$114K
Semaglutide53$113K
Linagliptin76$111K
Insulin Degludec89$98K
Insulin Glargine,hum.Rec.Anlog113$93K
Budesonide/Formoterol Fumarate96$92K
Sodium Zirconium Cyclosilicate59$77K

Prescribing Profile

165

Unique Drugs

$1.6M

IRA Negotiated Drugs

$817K

GLP-1 Drugs

22.0

Anomaly Score

Patient Profile

74

Avg Age

51%

Female

1.07

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