⚠️

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 →

George MathaiMD

Family Practice · New Johnsonville, TN 37134

NPI: 1316098858

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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

20,908

Total Claims

$1.2M

Drug Cost

890

Beneficiaries

$1,354

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

+52%

Opioid rate vs peers

3.9% vs 2.6% avg

+27%

Cost per patient vs peers

$1,354 vs $1,068 avg

+34%

Brand preference vs peers

12.0% 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

3.9%

Opioid Rate

821

Opioid Claims

$17K

Opioid Cost

1.8%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,498 claims · $897K

Generic: 18,293 claims · $302K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban247$126K
Dulaglutide59$66K
Semaglutide55$59K
Rivaroxaban99$54K
Sitagliptin Phosphate87$43K
Insulin Glargine,hum.Rec.Anlog58$37K
Empagliflozin86$36K
Dapagliflozin Propanediol40$33K
Fluticasone/Umeclidin/Vilanter40$33K
Cariprazine Hcl19$29K
Sitagliptin Phos/Metformin Hcl32$25K
Insulin Aspart28$17K
Varicella-Zoster Ge/As01b/Pf81$17K
Rivastigmine47$17K
Insulin Degludec15$16K

Prescribing Profile

209

Unique Drugs

$321K

IRA Negotiated Drugs

$149K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

75

Avg Age

61%

Female

1.34

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