⚠️

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 →

Endre AgostonMD

Hospitalist · Loma Linda, CA 92354

NPI: 1124439781

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

11,155

Total Claims

$491K

Drug Cost

1,501

Beneficiaries

$327

Cost/Patient

Risk Score Breakdown 15/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 16,767 Hospitalist providers

+115%

Opioid rate vs peers

6.4% vs 3.0% avg

-23%

Cost per patient vs peers

$327 vs $427 avg

+69%

Brand preference vs peers

8.9% vs 5.2% 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

6.4%

Opioid Rate

717

Opioid Claims

$12K

Opioid Cost

4.0%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 979 claims · $298K

Generic: 10,045 claims · $190K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban57$64K
Dabigatran Etexilate Mesylate165$45K
Semaglutide24$18K
Tiotropium Bromide39$15K
Empagliflozin35$14K
Atorvastatin Calcium997$14K
Linaclotide13$13K
Fluticasone Propion/Salmeterol67$12K
Levothyroxine Sodium466$10K
Fluticasone/Umeclidin/Vilanter12$8,405
Insulin Nph Human Isophane37$6,366
Insulin Nph Human Isophane31$5,707
Terazosin Hcl95$5,542
Amlodipine Besylate451$5,452
Hydrocodone/Acetaminophen309$5,084

Prescribing Profile

125

Unique Drugs

$79K

IRA Negotiated Drugs

$18K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

47%

Female

1.11

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