⚠️

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 →

Seema IyerM.D.

Internal Medicine · Saint Louis, MO 63141

NPI: 1437455441

Share:

24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

30,849

Total Claims

$2.1M

Drug Cost

1,460

Beneficiaries

$1,430

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+38%

Opioid rate vs peers

3.1% vs 2.2% avg

+1%

Cost per patient vs peers

$1,430 vs $1,411 avg

+8%

Brand preference vs peers

11.5% 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

3.1%

Opioid Rate

950

Opioid Claims

$23K

Opioid Cost

4.5%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 3,535 claims · $1.6M

Generic: 27,117 claims · $467K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban606$233K
Semaglutide93$121K
Empagliflozin158$99K
Sitagliptin Phosphate134$79K
Rivaroxaban149$75K
Dapagliflozin Propanediol110$66K
Mirabegron167$58K
Insulin Glargine,hum.Rec.Anlog98$56K
Dulaglutide51$56K
Dolutegravir Sodium11$50K
Deutetrabenazine15$38K
Insulin Aspart37$31K
Denosumab18$30K
Budesonide/Formoterol Fumarate52$29K
Tiotropium Bromide43$24K

Prescribing Profile

224

Unique Drugs

$609K

IRA Negotiated Drugs

$239K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

77

Avg Age

68%

Female

1.79

Avg Risk Score

Explore More

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