⚠️

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 →

Marina NeystatM.D.

Neurology · Forest Hills, NY 11375

NPI: 1124013990

Share:

24

🟡 Moderate

Risk Flags

Elevated cost per beneficiaryHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

15,588

Total Claims

$8.8M

Drug Cost

1,203

Beneficiaries

$7,348

Cost/Patient

Risk Score Breakdown 24/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 13,194 Neurology providers

-18%

Opioid rate vs peers

1.1% vs 1.3% avg

+82%

Cost per patient vs peers

$7,348 vs $4,034 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

1.1%

Opioid Rate

167

Opioid Claims

$14K

Opioid Cost

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 9,613 claims · $646K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Droxidopa82$1.4M
Rimegepant Sulfate401$537K
Diclofenac Sodium122$399K
Carbidopa/Levodopa274$341K
Gabapentin Enacarbil518$318K
Valbenazine Tosylate39$318K
Dihydroergotamine Mesylate162$284K
Dextromethorphan Hbr/Quinidine153$257K
Gabapentin462$250K
Ubrogepant202$244K
Dimethyl Fumarate17$226K
Memantine Hcl/Donepezil Hcl323$217K
Rotigotine244$215K
Lamotrigine119$173K
Pimavanserin Tartrate30$161K

Prescribing Profile

132

Unique Drugs

$14K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

76

Avg Age

68%

Female

1.89

Avg Risk Score

Explore More

Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About