⚠️

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 →

Ashraf NashedMD

Cardiology · Thousand Oaks, CA 91361

NPI: 1144290081

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30

🟠 Elevated

Risk Flags

Elevated cost per beneficiaryHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

20,237

Total Claims

$2.9M

Drug Cost

506

Beneficiaries

$5,652

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 18,720 Cardiology providers

+271%

Cost per patient vs peers

$5,652 vs $1,524 avg

+37%

Brand preference vs peers

18.6% vs 13.7% 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

1.0%

Opioid Rate

201

Opioid Claims

$2,477

Opioid Cost

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 3,737 claims · $2.3M

Generic: 16,316 claims · $504K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin430$293K
Semaglutide249$253K
Rivaroxaban282$179K
Dulaglutide143$146K
Apixaban230$139K
Sacubitril/Valsartan129$113K
Icosapent Ethyl210$102K
Tirzepatide91$100K
Teriparatide22$99K
Sitagliptin Phosphate168$98K
Dronedarone Hcl95$80K
Linaclotide151$79K
Fluticasone/Umeclidin/Vilanter109$74K
Ticagrelor102$65K
Denosumab35$60K

Prescribing Profile

194

Unique Drugs

$841K

IRA Negotiated Drugs

$500K

GLP-1 Drugs

30.0

Anomaly Score

Patient Profile

76

Avg Age

57%

Female

1.73

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