⚠️

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 →

Anna MilsteinM.D.

Cardiology · Los Angeles, CA 90048

NPI: 1003914227

Share:

38

🟠 Elevated

Risk Flags

High cost outlier (population + peer)High brand-name preferenceHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

34,592

Total Claims

$9.0M

Drug Cost

737

Beneficiaries

$12K

Cost/Patient

Risk Score Breakdown 38/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Cost per patient outlier+6
High fills per patient+5
Brand-name preference+4

Score components are additive. Read full methodology

Peer Comparison vs. 18,720 Cardiology providers

+704%

Cost per patient vs peers

$12K vs $1,524 avg

+179%

Brand preference vs peers

38.1% vs 13.7% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

⚠️ 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

💰

Cost per patient is 704% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

⚠️

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

0.5%

Opioid Rate

160

Opioid Claims

$904

Opioid Cost

Long-Acting Rate

Brand vs Generic

62% generic

Brand: 13,144 claims · $7.8M

Generic: 21,328 claims · $1.2M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sacubitril/Valsartan1,199$916K
Lipase/Protease/Amylase585$808K
Rivaroxaban1,113$700K
Dapagliflozin Propanediol960$608K
Icosapent Ethyl1,200$467K
Semaglutide304$315K
Alirocumab564$311K
Linaclotide415$244K
Pitavastatin Calcium626$230K
Diclofenac Sodium300$204K
Metformin Hcl65$202K
Tirzepatide171$192K
Apixaban310$192K
Diclofenac Sodium69$181K
Dronedarone Hcl213$180K

Prescribing Profile

220

Unique Drugs

$2.6M

IRA Negotiated Drugs

$636K

GLP-1 Drugs

38.0

Anomaly Score

Patient Profile

80

Avg Age

65%

Female

1.98

Avg Risk Score

Explore More

Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About