⚠️

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 →

Alexey IsakovMD

Internal Medicine · Brooklyn, NY 11235

NPI: 1093798746

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30

🟠 Elevated

Risk Flags

Elevated cost per beneficiaryHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

29,966

Total Claims

$3.8M

Drug Cost

777

Beneficiaries

$4,855

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-64%

Opioid rate vs peers

0.8% vs 2.2% avg

+244%

Cost per patient vs peers

$4,855 vs $1,411 avg

+103%

Brand preference vs peers

21.6% vs 10.6% 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

0.8%

Opioid Rate

244

Opioid Claims

$4,213

Opioid Cost

Long-Acting Rate

Brand vs Generic

78% generic

Brand: 6,372 claims · $3.1M

Generic: 23,181 claims · $685K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban836$421K
Lipase/Protease/Amylase301$313K
Linaclotide416$241K
Semaglutide194$202K
Dapagliflozin Propanediol339$173K
Empagliflozin239$152K
Icosapent Ethyl347$120K
Rivaroxaban177$107K
Sacubitril/Valsartan189$105K
Sitagliptin Phosphate137$80K
Dexlansoprazole297$74K
Linagliptin120$74K
Dulaglutide73$71K
Sitagliptin Phos/Metformin Hcl100$57K
Dihydroergotamine Mesylate23$48K

Prescribing Profile

252

Unique Drugs

$1.1M

IRA Negotiated Drugs

$320K

GLP-1 Drugs

30.0

Anomaly Score

Patient Profile

79

Avg Age

63%

Female

1.97

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