⚠️

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 →

Ryan NadelsonMD

Internal Medicine · Gainesville, GA 30501

NPI: 1407110703

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15

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

20,827

Total Claims

$1.7M

Drug Cost

1,456

Beneficiaries

$1,190

Cost/Patient

Risk Score Breakdown 15/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+46%

Opioid rate vs peers

3.3% vs 2.2% avg

-16%

Cost per patient vs peers

$1,190 vs $1,411 avg

+15%

Brand preference vs peers

12.2% 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

3.3%

Opioid Rate

681

Opioid Claims

$10K

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,521 claims · $1.3M

Generic: 18,150 claims · $405K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide168$224K
Sitagliptin Phosphate99$130K
Apixaban92$105K
Rivaroxaban56$64K
Insulin Detemir47$34K
Insulin Glargine,hum.Rec.Anlog48$34K
Empagliflozin35$31K
Linaclotide38$27K
Insulin Aspart21$26K
Dulaglutide17$26K
Budesonide/Formoterol Fumarate50$26K
Fluticasone/Vilanterol56$26K
Linagliptin16$24K
Mirabegron25$23K
Insulin Glargine,hum.Rec.Anlog11$22K

Prescribing Profile

175

Unique Drugs

$376K

IRA Negotiated Drugs

$288K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

56%

Female

1.30

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