⚠️

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 →

Isam DiabMD

Rheumatology · Middleburg Hts, OH 44130

NPI: 1063488765

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,300

Total Claims

$1.8M

Drug Cost

964

Beneficiaries

$1,896

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 5,101 Rheumatology providers

+238%

Opioid rate vs peers

13.7% vs 4.1% avg

-69%

Cost per patient vs peers

$1,896 vs $6,039 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

💊

Opioid rate is 238% above Rheumatology peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

⚠️

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

13.7%

Opioid Rate

1,414

Opioid Claims

$17K

Opioid Cost

0.8%

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 9,907 claims · $386K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Adalimumab22$216K
Adalimumab25$180K
Etanercept15$151K
Abatacept12$106K
Hydroxychloroquine Sulfate977$87K
Methotrexate Sodium914$51K
Leflunomide474$50K
Pregabalin347$25K
Celecoxib404$23K
Prednisone1,111$16K
Pilocarpine Hcl105$12K
Milnacipran Hcl22$12K
Colchicine89$11K
Duloxetine Hcl228$10K
Gabapentin301$8,305

Prescribing Profile

80

Unique Drugs

$151K

IRA Negotiated Drugs

9.0

Anomaly Score

Patient Profile

73

Avg Age

77%

Female

1.66

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