⚠️

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 →

Ramani NokkuM.D

Internal Medicine · Rockville, MD 20850

NPI: 1376626846

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26

🟡 Moderate

ML Fraud Detection Score: 83%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

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Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

21,042

Total Claims

$1.5M

Drug Cost

666

Beneficiaries

$2,316

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-79%

Opioid rate vs peers

0.5% vs 2.2% avg

+64%

Cost per patient vs peers

$2,316 vs $1,411 avg

+13%

Brand preference vs peers

12.0% 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

🤖

ML fraud detection score of 83% indicates prescribing patterns with significant similarity to confirmed fraud cases. 17 out of 20 decision trees flagged this provider.

⚠️

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

0.5%

Opioid Rate

98

Opioid Claims

$2,470

Opioid Cost

12.2%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,514 claims · $1.0M

Generic: 18,423 claims · $498K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban570$237K
Dulaglutide164$116K
Rifaximin83$76K
Pimavanserin Tartrate15$65K
Rivaroxaban120$49K
Empagliflozin106$44K
Sitagliptin Phosphate100$43K
Carbidopa/Levodopa55$43K
Mirabegron88$29K
Semaglutide29$29K
Memantine Hcl375$21K
Atorvastatin Calcium1,029$18K
Insulin Glargine,hum.Rec.Anlog134$17K
Mirtazapine537$17K
Donepezil Hcl473$14K

Prescribing Profile

214

Unique Drugs

$399K

IRA Negotiated Drugs

$144K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

82

Avg Age

67%

Female

2.20

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