⚠️

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 →

Nikolas DimovskiMD

Family Practice · Shelby Township, MI 48315

NPI: 1003109216

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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

5,887

Total Claims

$510K

Drug Cost

534

Beneficiaries

$954

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. 106,889 Family Practice providers

+100%

Opioid rate vs peers

5.1% vs 2.6% avg

-11%

Cost per patient vs peers

$954 vs $1,068 avg

+15%

Brand preference vs peers

10.3% vs 9.0% 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

5.1%

Opioid Rate

303

Opioid Claims

$4,685

Opioid Cost

4.6%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 605 claims · $383K

Generic: 5,247 claims · $126K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide44$74K
Apixaban58$62K
Empagliflozin41$42K
Fluticasone/Umeclidin/Vilanter29$36K
Semaglutide11$23K
Brexpiprazole13$21K
Sitagliptin Phosphate23$20K
Rivaroxaban12$16K
Cyclosporine13$8,849
Evolocumab11$5,980
Atorvastatin Calcium358$5,355
Levothyroxine Sodium233$4,322
Fluticasone Propion/Salmeterol12$3,956
Diltiazem Hcl15$3,496
Rosuvastatin Calcium95$3,405

Prescribing Profile

117

Unique Drugs

$140K

IRA Negotiated Drugs

$97K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

72

Avg Age

64%

Female

1.10

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.Methodology · About