⚠️

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 →

Chad ZikM.D.

Internal Medicine · Annandale, VA 22003

NPI: 1134509359

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32

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peersHigh cost outlier (population + peer)High long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

305

Total Claims

$445K

Drug Cost

29

Beneficiaries

$15K

Cost/Patient

Risk Score Breakdown 32/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Long-acting opioid rate+8
Cost per patient outlier+6

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+793%

Opioid rate vs peers

20.0% vs 2.2% avg

+987%

Cost per patient vs peers

$15K vs $1,411 avg

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

🔎 Data Overview

⚠️

Opioid prescribing rate is 793% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

💰

Cost per patient is 987% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

20.0%

Opioid Rate

61

Opioid Claims

$2,994

Opioid Cost

21.3%

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 221 claims · $87K

Patient Profile

50

Avg Age

38%

Female

4.28

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