⚠️

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 →

Vivek GuptaM.D.

Internal Medicine · Chicago, IL 60622

NPI: 1376632976

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26

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

67,062

Total Claims

$5.1M

Drug Cost

1,583

Beneficiaries

$3,206

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

-97%

Opioid rate vs peers

0.1% vs 2.2% avg

+127%

Cost per patient vs peers

$3,206 vs $1,411 avg

+27%

Brand preference vs peers

13.5% 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

0.1%

Opioid Rate

40

Opioid Claims

$336

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 9,064 claims · $3.2M

Generic: 57,871 claims · $1.9M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban2,095$588K
Valbenazine Tosylate99$399K
Rivaroxaban669$188K
Interferon Beta-1a/Albumin12$106K
Chlorpromazine Hcl255$95K
Abiraterone Acetate18$95K
Empagliflozin313$94K
Paliperidone Palmitate25$82K
Dulaglutide74$72K
Collagenase Clostridium Hist.129$71K
Atorvastatin Calcium4,817$61K
Enoxaparin Sodium516$58K
Bictegrav/Emtricit/Tenofov Ala15$57K
Sitagliptin Phosphate172$53K
Fluticasone/Vilanterol122$52K

Prescribing Profile

322

Unique Drugs

$1.0M

IRA Negotiated Drugs

$72K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

70

Avg Age

46%

Female

3.31

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