⚠️

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 →

Joseph MihindukulasuriyaMD

Nephrology · Glens Falls, NY 12801

NPI: 1083771927

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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

8,945

Total Claims

$1.3M

Drug Cost

576

Beneficiaries

$2,232

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. 8,961 Nephrology providers

+74%

Cost per patient vs peers

$2,232 vs $1,283 avg

+68%

Brand preference vs peers

15.0% vs 9.0% 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

2.1%

Opioid Rate

188

Opioid Claims

$5,139

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,332 claims · $1.1M

Generic: 7,531 claims · $168K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol336$251K
Tiopronin24$240K
Finerenone151$130K
Apixaban83$73K
Semaglutide30$51K
Sitagliptin Phosphate51$42K
Empagliflozin48$37K
Rifaximin11$36K
Semaglutide25$23K
Cinacalcet Hcl35$21K
Tirzepatide11$15K
Potassium Citrate86$11K
Mirabegron24$10K
Sevelamer Carbonate23$7,918
Potassium Chloride248$5,468

Prescribing Profile

111

Unique Drugs

$403K

IRA Negotiated Drugs

$89K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

75

Avg Age

54%

Female

2.19

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