⚠️

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 →

Ellen ZagrebelskyMD

Geriatric Medicine · Philadelphia, PA 19115

NPI: 1275584807

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22

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

22,832

Total Claims

$2.1M

Drug Cost

375

Beneficiaries

$5,689

Cost/Patient

Risk Score Breakdown 22/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 1,825 Geriatric Medicine providers

-73%

Opioid rate vs peers

0.7% vs 2.6% avg

+360%

Cost per patient vs peers

$5,689 vs $1,237 avg

+81%

Brand preference vs peers

16.6% vs 9.2% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

⚠️ 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

0.7%

Opioid Rate

157

Opioid Claims

$2,105

Opioid Cost

Long-Acting Rate

Brand vs Generic

83% generic

Brand: 3,770 claims · $1.8M

Generic: 18,914 claims · $353K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Lipase/Protease/Amylase335$293K
Linaclotide428$244K
Icosapent Ethyl426$157K
Apixaban192$132K
Sitagliptin Phosphate160$103K
Linagliptin150$93K
Dulaglutide85$85K
Dapagliflozin Propanediol117$75K
Rivaroxaban69$42K
Fluticasone Propion/Salmeterol85$40K
Fluticasone/Vilanterol92$39K
Memantine Hcl/Donepezil Hcl60$39K
Dexlansoprazole140$35K
Vortioxetine Hydrobromide60$30K
Budesonide/Formoterol Fumarate62$30K

Prescribing Profile

205

Unique Drugs

$395K

IRA Negotiated Drugs

$128K

GLP-1 Drugs

22.0

Anomaly Score

Patient Profile

81

Avg Age

71%

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