⚠️

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 →

Ramesh KaulMD, FCCP, MS

Pulmonary Disease · New Castle, PA 16105

NPI: 1073563466

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

11,265

Total Claims

$2.7M

Drug Cost

677

Beneficiaries

$3,961

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 9,082 Pulmonary Disease providers

-23%

Cost per patient vs peers

$3,961 vs $5,138 avg

-46%

Brand preference vs peers

33.2% 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

0.7%

Opioid Rate

76

Opioid Claims

$1,003

Opioid Cost

Long-Acting Rate

Brand vs Generic

67% generic

Brand: 3,732 claims · $2.4M

Generic: 7,510 claims · $268K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Alpha-1-Proteinase Inhibitor38$674K
Fluticasone/Umeclidin/Vilanter671$478K
Omalizumab39$156K
Tiotropium Br/Olodaterol Hcl162$96K
Apixaban258$92K
Fluticasone/Vilanterol203$84K
Budesonide/Formoterol Fumarate106$58K
Umeclidinium Brm/Vilanterol Tr117$56K
Budesonide/Glycopyr/Formoterol85$55K
Tiotropium Bromide96$54K
Bictegrav/Emtricit/Tenofov Ala12$48K
Pimavanserin Tartrate22$48K
Ipratropium/Albuterol Sulfate69$41K
Albuterol Sulfate797$33K
Darunavir/Cobicistat25$29K

Prescribing Profile

150

Unique Drugs

$153K

IRA Negotiated Drugs

$38K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

71

Avg Age

55%

Female

2.18

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