⚠️

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 →

John GambinoMD

Internal Medicine · Winston Salem, NC 27106

NPI: 1417924127

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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

18,060

Total Claims

$1.2M

Drug Cost

536

Beneficiaries

$2,216

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

-68%

Opioid rate vs peers

0.7% vs 2.2% avg

+57%

Cost per patient vs peers

$2,216 vs $1,411 avg

+48%

Brand preference vs peers

15.8% 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

0.7%

Opioid Rate

128

Opioid Claims

$1,797

Opioid Cost

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 2,837 claims · $768K

Generic: 15,135 claims · $414K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban535$215K
Rivaroxaban147$51K
Lipase/Protease/Amylase29$43K
Sitagliptin Phosphate85$38K
Mirabegron94$32K
Pimavanserin Tartrate14$32K
Cyclosporine59$26K
Carbidopa/Levodopa38$26K
Dulaglutide38$20K
Linaclotide33$18K
Rivastigmine65$18K
Memantine Hcl238$16K
Sacubitril/Valsartan38$15K
Levothyroxine Sodium1,012$14K
Bimatoprost52$13K

Prescribing Profile

206

Unique Drugs

$348K

IRA Negotiated Drugs

$20K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

85

Avg Age

70%

Female

2.05

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