⚠️

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 →

Rozaliya OstrovskayaMD

Internal Medicine · Brooklyn, NY 11235

NPI: 1023052784

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32

🟠 Elevated

Risk Flags

Extreme cost outlier (population + peer)Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

13,635

Total Claims

$5.1M

Drug Cost

298

Beneficiaries

$17K

Cost/Patient

Risk Score Breakdown 32/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-67%

Opioid rate vs peers

0.7% vs 2.2% avg

+1106%

Cost per patient vs peers

$17K vs $1,411 avg

+120%

Brand preference vs peers

23.3% vs 10.6% 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 1106% 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

0.7%

Opioid Rate

101

Opioid Claims

$1,287

Opioid Cost

Long-Acting Rate

Brand vs Generic

77% generic

Brand: 3,125 claims · $2.1M

Generic: 10,263 claims · $3.0M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Metformin Hcl91$611K
Omeprazole/Sodium Bicarbonate236$574K
Diclofenac Sodium544$549K
Lactulose150$315K
Dihydroergotamine Mesylate113$233K
Chlordiazepoxide/Clidinium Br92$199K
Diclofenac Potassium69$165K
Lipase/Protease/Amylase168$128K
Apixaban190$127K
Orphenadrine/Aspirin/Caffeine48$103K
Dulaglutide77$91K
Linaclotide142$88K
Diclofenac Sodium23$86K
Sacubitril/Valsartan88$76K
Empagliflozin82$72K

Prescribing Profile

175

Unique Drugs

$319K

IRA Negotiated Drugs

$160K

GLP-1 Drugs

32.0

Anomaly Score

Patient Profile

78

Avg Age

65%

Female

1.46

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