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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 →

Shobha KhandelwalM.D.

Geriatric Medicine · Medina, OH 44256

NPI: 1083609622

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26

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

18,635

Total Claims

$1.3M

Drug Cost

542

Beneficiaries

$2,399

Cost/Patient

Risk Score Breakdown 26/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 1,825 Geriatric Medicine providers

-60%

Opioid rate vs peers

1.0% vs 2.6% avg

+94%

Cost per patient vs peers

$2,399 vs $1,237 avg

+41%

Brand preference vs peers

13.0% vs 9.2% 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

1.0%

Opioid Rate

190

Opioid Claims

$3,160

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,401 claims · $940K

Generic: 16,106 claims · $352K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban579$253K
Pimavanserin Tartrate41$94K
Rifaximin35$53K
Empagliflozin79$51K
Semaglutide33$41K
Insulin Glargine,hum.Rec.Anlog164$37K
Mirabegron74$32K
Fluticasone/Umeclidin/Vilanter30$29K
Rivaroxaban46$29K
Sitagliptin Phosphate65$27K
Dapagliflozin Propanediol74$27K
Insulin Lispro81$26K
Memantine Hcl376$21K
Sacubitril/Valsartan58$18K
Potassium Chloride702$15K

Prescribing Profile

186

Unique Drugs

$416K

IRA Negotiated Drugs

$41K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

82

Avg Age

73%

Female

2.06

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