⚠️

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 →

Syed AlamM.D.

Pulmonary Disease · Bakersfield, CA 93308

NPI: 1073541512

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13

🟢 Low

Risk Flags

Elevated cost per beneficiaryOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

14,161

Total Claims

$4.5M

Drug Cost

924

Beneficiaries

$4,877

Cost/Patient

Risk Score Breakdown 13/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 9,082 Pulmonary Disease providers

-5%

Cost per patient vs peers

$4,877 vs $5,138 avg

-68%

Brand preference vs peers

19.5% vs 61.4% 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

0.2%

Opioid Rate

33

Opioid Claims

$617

Opioid Cost

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 2,756 claims · $4.2M

Generic: 11,346 claims · $300K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Nintedanib Esylate127$1.8M
Fluticasone/Umeclidin/Vilanter414$355K
Alpha-1-Proteinase Inhibitor24$342K
Alpha-1-Proteinase Inhibitor25$197K
Edaravone12$155K
Apixaban103$82K
Fluticasone/Vilanterol152$77K
Budesonide/Formoterol Fumarate141$68K
Umeclidinium Brm/Vilanterol Tr97$64K
Sitagliptin Phosphate56$53K
Tiotropium Bromide59$41K
Tiotropium Br/Olodaterol Hcl66$39K
Rivaroxaban37$33K
Budesonide/Glycopyr/Formoterol41$33K
Ipratropium/Albuterol Sulfate46$28K

Prescribing Profile

154

Unique Drugs

$233K

IRA Negotiated Drugs

$38K

GLP-1 Drugs

13.0

Anomaly Score

Patient Profile

73

Avg Age

59%

Female

1.83

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