⚠️

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 →

Alexander GershmanMD

Urology · Los Angeles, CA 90048

NPI: 1124058219

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

13,261

Total Claims

$2.0M

Drug Cost

1,373

Beneficiaries

$1,437

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 9,928 Urology providers

-85%

Opioid rate vs peers

0.5% vs 3.4% avg

+101%

Cost per patient vs peers

$1,437 vs $714 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

0.5%

Opioid Rate

67

Opioid Claims

$485

Opioid Cost

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 10,388 claims · $556K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Vibegron1,129$626K
Mirabegron893$434K
Estradiol554$92K
Solifenacin Succinate421$88K
Silodosin644$86K
Pentosan Polysulfate Sodium96$76K
Estrogens, Conjugated78$54K
Tadalafil102$43K
Tamsulosin Hcl2,550$42K
Tadalafil214$37K
Tolterodine Tartrate306$34K
Dutasteride58$34K
Fesoterodine Fumarate122$32K
Dutasteride988$26K
Leuprolide Acetate16$22K

Prescribing Profile

51

Unique Drugs

9.0

Anomaly Score

Patient Profile

76

Avg Age

34%

Female

1.80

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