⚠️

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 →

Francisco IsolaniM.D.

Anesthesiology · Oakland, CA 94602

NPI: 1326185265

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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

22,595

Total Claims

$1.5M

Drug Cost

917

Beneficiaries

$1,645

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. 3,186 Anesthesiology providers

-95%

Opioid rate vs peers

1.6% vs 34.8% avg

+290%

Cost per patient vs peers

$1,645 vs $422 avg

+336%

Brand preference vs peers

20.6% vs 4.7% 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

1.6%

Opioid Rate

370

Opioid Claims

$9,781

Opioid Cost

16.5%

Long-Acting Rate

Brand vs Generic

79% generic

Brand: 4,632 claims · $922K

Generic: 17,841 claims · $583K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban792$214K
Sitagliptin Phosphate382$104K
Dimethyl Fumarate11$73K
Rivaroxaban146$39K
Dulaglutide47$29K
Empagliflozin85$25K
Budesonide/Formoterol Fumarate62$23K
Atorvastatin Calcium1,636$22K
Linagliptin82$22K
Carbidopa/Levodopa24$20K
Mirabegron81$18K
Divalproex Sodium126$18K
Aripiprazole65$17K
Brivaracetam51$17K
Insulin Glargine,hum.Rec.Anlog55$17K

Prescribing Profile

211

Unique Drugs

$425K

IRA Negotiated Drugs

$41K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

77

Avg Age

58%

Female

2.34

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