⚠️

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 →

Nilamben ShahMD

Internal Medicine · Saint Petersburg, FL 33710

NPI: 1356306070

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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

18,821

Total Claims

$1.5M

Drug Cost

900

Beneficiaries

$1,696

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

+5%

Opioid rate vs peers

2.4% vs 2.2% avg

+20%

Cost per patient vs peers

$1,696 vs $1,411 avg

+24%

Brand preference vs peers

13.2% 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

2.4%

Opioid Rate

443

Opioid Claims

$5,622

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,468 claims · $1.1M

Generic: 16,214 claims · $408K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban548$223K
Semaglutide69$98K
Pimavanserin Tartrate32$74K
Sitagliptin Phosphate98$74K
Dulaglutide52$65K
Insulin Glargine,hum.Rec.Anlog76$49K
Insulin Detemir37$39K
Budesonide/Formoterol Fumarate71$30K
Insulin Aspart36$24K
Fluticasone/Umeclidin/Vilanter28$23K
Brexpiprazole14$20K
Empagliflozin12$18K
Rivaroxaban25$16K
Insulin Glargine,hum.Rec.Anlog33$15K
Mirabegron44$13K

Prescribing Profile

210

Unique Drugs

$374K

IRA Negotiated Drugs

$163K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

75

Avg Age

70%

Female

1.56

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