⚠️

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 →

Paul KobernaMD

Internal Medicine · State College, PA 16803

NPI: 1003803263

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31

🟠 Elevated

Risk Flags

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

10,277

Total Claims

$646K

Drug Cost

313

Beneficiaries

$2,063

Cost/Patient

Risk Score Breakdown 31/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-34%

Opioid rate vs peers

1.5% vs 2.2% avg

+46%

Cost per patient vs peers

$2,063 vs $1,411 avg

+33%

Brand preference vs peers

14.1% 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

1.5%

Opioid Rate

152

Opioid Claims

$2,963

Opioid Cost

17.8%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,426 claims · $414K

Generic: 8,685 claims · $223K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban523$170K
Dulaglutide33$32K
Sacubitril/Valsartan67$22K
Insulin Glargine,hum.Rec.Anlog86$17K
Insulin Aspart47$15K
Perampanel25$15K
Rivaroxaban53$14K
Carbidopa/Levodopa25$14K
Rivastigmine Tartrate128$13K
Memantine Hcl69$12K
Mirabegron44$10K
Memantine Hcl132$8,868
Duloxetine Hcl115$7,949
Potassium Chloride309$7,628
Cyclosporine15$7,269

Prescribing Profile

151

Unique Drugs

$226K

IRA Negotiated Drugs

$32K

GLP-1 Drugs

31.0

Anomaly Score

Patient Profile

86

Avg Age

71%

Female

1.71

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