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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 →

Gustin HoM.D.

Internal Medicine · San Francisco, CA 94108

NPI: 1437189966

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21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

25,565

Total Claims

$3.2M

Drug Cost

1,661

Beneficiaries

$1,943

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-82%

Opioid rate vs peers

0.4% vs 2.2% avg

+38%

Cost per patient vs peers

$1,943 vs $1,411 avg

+19%

Brand preference vs peers

12.7% 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

0.4%

Opioid Rate

103

Opioid Claims

$790

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 3,230 claims · $2.7M

Generic: 22,212 claims · $548K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin446$660K
Apixaban352$383K
Sitagliptin Phosphate199$298K
Linagliptin134$177K
Rivaroxaban157$173K
Denosumab99$167K
Dapagliflozin Propanediol95$137K
Ipratropium/Albuterol Sulfate82$64K
Fluticasone Propion/Salmeterol61$62K
Lipase/Protease/Amylase40$52K
Semaglutide21$47K
Atorvastatin Calcium2,057$37K
Celecoxib353$34K
Tenofovir Alafenamide22$28K
Linaclotide24$27K

Prescribing Profile

183

Unique Drugs

$1.7M

IRA Negotiated Drugs

$47K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

79

Avg Age

56%

Female

1.54

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