⚠️

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 →

Gurprakash GrewalM.D.

Family Practice · Saint Louis, MO 63118

NPI: 1134343379

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41

🟠 Elevated

🤖 ML Fraud Detection Score: 99%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

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Risk Flags

Very high opioid rate vs specialty peersElevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberextreme_fills_per_patient

Risk indicators are statistical patterns, not allegations. Learn more

10,374

Total Claims

$574K

Drug Cost

165

Beneficiaries

$3,482

Cost/Patient

Risk Score Breakdown 41/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+590%

Opioid rate vs peers

17.8% vs 2.6% avg

+226%

Cost per patient vs peers

$3,482 vs $1,068 avg

+4%

Brand preference vs peers

9.4% vs 9.0% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

⚠️ 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.

Opioid Prescribing

17.8%

Opioid Rate

1,847

Opioid Claims

$46K

Opioid Cost

2.9%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 965 claims · $376K

Generic: 9,332 claims · $196K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Budesonide/Formoterol Fumarate124$54K
Sitagliptin Phosphate43$38K
Ipratropium/Albuterol Sulfate72$37K
Oxycodone Hcl/Acetaminophen1,102$32K
Apixaban38$29K
Tiotropium Bromide30$21K
Linaclotide24$20K
Varenicline Tartrate53$19K
Insulin Glargine,hum.Rec.Anlog24$16K
Fluticasone/Umeclidin/Vilanter20$14K
Levalbuterol Tartrate175$12K
Tiotropium Bromide20$11K
Mirabegron18$11K
Umeclidinium Bromide23$8,802
Insulin Lispro14$7,909

Prescribing Profile

156

Unique Drugs

$67K

IRA Negotiated Drugs

41.0

Anomaly Score

Patient Profile

62

Avg Age

52%

Female

1.53

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