⚠️

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 →

Sanjay KhediaM.D.

Internal Medicine · Covina, CA 91723

NPI: 1326063801

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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

18,069

Total Claims

$2.1M

Drug Cost

761

Beneficiaries

$2,715

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

-70%

Opioid rate vs peers

0.7% vs 2.2% avg

+92%

Cost per patient vs peers

$2,715 vs $1,411 avg

+52%

Brand preference vs peers

16.1% 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

0.7%

Opioid Rate

123

Opioid Claims

$1,514

Opioid Cost

9.8%

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 2,874 claims · $1.6M

Generic: 14,939 claims · $478K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Denosumab79$130K
Empagliflozin110$113K
Apixaban211$103K
Sitagliptin Phosphate199$98K
Dapagliflozin Propanediol62$56K
Semaglutide41$52K
Insulin Glargine,hum.Rec.Anlog69$52K
Fluticasone/Umeclidin/Vilanter60$48K
Linaclotide60$44K
Rivaroxaban47$44K
Omeprazole/Sodium Bicarbonate13$36K
Calcitonin,salmon,synthetic22$35K
Insulin Detemir84$33K
Insulin Aspart84$29K
Mirabegron71$29K

Prescribing Profile

231

Unique Drugs

$463K

IRA Negotiated Drugs

$52K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

73

Avg Age

61%

Female

2.04

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