⚠️

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 →

Pradip ShahM.D.

Internal Medicine · West Caldwell, NJ 07006

NPI: 1326059320

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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

21,081

Total Claims

$1.7M

Drug Cost

751

Beneficiaries

$2,328

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

-58%

Opioid rate vs peers

0.9% vs 2.2% avg

+65%

Cost per patient vs peers

$2,328 vs $1,411 avg

+26%

Brand preference vs peers

13.4% 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

0.9%

Opioid Rate

200

Opioid Claims

$3,742

Opioid Cost

12.5%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,799 claims · $1.3M

Generic: 18,022 claims · $427K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban546$284K
Enzalutamide13$191K
Rivaroxaban170$83K
Sacubitril/Valsartan83$61K
Dulaglutide52$55K
Pimavanserin Tartrate12$49K
Mirabegron94$48K
Rsv Vacc, Pref A And Pref B/Pf126$40K
Tetrabenazine15$33K
Memantine Hcl/Donepezil Hcl46$30K
Linagliptin52$29K
Insulin Glargine,hum.Rec.Anlog96$27K
Sitagliptin Phosphate47$25K
Semaglutide15$24K
Fluticasone/Vilanterol51$23K

Prescribing Profile

211

Unique Drugs

$466K

IRA Negotiated Drugs

$92K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

86

Avg Age

72%

Female

1.89

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