⚠️

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 →

Olena GuzhvaMD

Rheumatology · Syosset, NY 11791

NPI: 1174779359

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36

🟠 Elevated

Risk Flags

High long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

28,910

Total Claims

$1.4M

Drug Cost

839

Beneficiaries

$1,670

Cost/Patient

Risk Score Breakdown 36/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 5,101 Rheumatology providers

-89%

Opioid rate vs peers

0.4% vs 4.1% avg

-72%

Cost per patient vs peers

$1,670 vs $6,039 avg

+89%

Brand preference vs peers

14.3% vs 7.6% 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

0.4%

Opioid Rate

129

Opioid Claims

$4,319

Opioid Cost

19.4%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 4,137 claims · $971K

Generic: 24,738 claims · $427K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban1,376$323K
Rivaroxaban234$67K
Sitagliptin Phosphate276$62K
Collagenase Clostridium Hist.69$32K
Emtricitabine/Tenofov Alafenam12$27K
Dulaglutide53$26K
Raltegravir Potassium12$24K
Insulin Glargine,hum.Rec.Anlog148$23K
Budesonide/Formoterol Fumarate58$23K
Insulin Aspart98$21K
Fluticasone/Vilanterol43$19K
Tiotropium Bromide34$18K
Insulin Glargine,hum.Rec.Anlog112$17K
Memantine Hcl270$17K
Vibegron132$16K

Prescribing Profile

206

Unique Drugs

$478K

IRA Negotiated Drugs

$26K

GLP-1 Drugs

36.0

Anomaly Score

Patient Profile

83

Avg Age

66%

Female

2.46

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