⚠️

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 →

Xiangsheng ZhengM.D.

Internal Medicine · Birmingham, AL 35233

NPI: 1396861332

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24

🟡 Moderate

Risk Flags

High cost outlier (population + peer)High antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

45,703

Total Claims

$9.2M

Drug Cost

629

Beneficiaries

$15K

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Cost per patient outlier+6
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+934%

Cost per patient vs peers

$15K vs $1,411 avg

+178%

Brand preference vs peers

29.6% vs 10.6% avg

🔎 Data Overview

💰

Cost per patient is 934% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Brand vs Generic

70% generic

Brand: 13,364 claims · $7.2M

Generic: 31,856 claims · $1.9M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Cyclosporine1,905$1.4M
Icosapent Ethyl2,905$1.2M
Diclofenac Epolamine1,073$706K
Lipase/Protease/Amylase377$669K
Sitagliptin Phosphate830$515K
Omeprazole/Sodium Bicarbonate432$491K
Tenofovir Alafenamide181$281K
Semaglutide264$268K
Linaclotide468$264K
Dexlansoprazole936$233K
Halobetasol Propionate1,652$209K
Mometasone Furoate1,505$187K
Esomeprazole Magnesium996$168K
Fluticasone Propion/Salmeterol331$145K
Naproxen/Esomeprazole Mag142$132K

Prescribing Profile

165

Unique Drugs

$827K

IRA Negotiated Drugs

$316K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

72

Avg Age

50%

Female

0.90

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