⚠️

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 →

Panduranga KoyaM.D.

Internal Medicine · Saint Louis, MO 63125

NPI: 1427151323

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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

46,408

Total Claims

$3.0M

Drug Cost

940

Beneficiaries

$3,213

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

3.8% vs 2.2% avg

+128%

Cost per patient vs peers

$3,213 vs $1,411 avg

+73%

Brand preference vs peers

18.4% 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

3.8%

Opioid Rate

1,747

Opioid Claims

$45K

Opioid Cost

5.0%

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 8,356 claims · $2.0M

Generic: 37,004 claims · $947K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban1,646$550K
Mirabegron472$110K
Valbenazine Tosylate25$99K
Rivaroxaban304$94K
Vibegron269$73K
Sitagliptin Phosphate214$62K
Insulin Glargine,hum.Rec.Anlog259$61K
Empagliflozin157$57K
Lipase/Protease/Amylase34$55K
Collagenase Clostridium Hist.114$46K
Potassium Chloride1,448$40K
Fluticasone/Umeclidin/Vilanter63$39K
Mirtazapine951$33K
Memantine Hcl629$31K
Pen Needle, Diabetic, Safety599$29K

Prescribing Profile

285

Unique Drugs

$836K

IRA Negotiated Drugs

$48K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

83

Avg Age

72%

Female

2.48

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