⚠️

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 →

Ilya RachmanM.D.

Internal Medicine · Reseda, CA 91335

NPI: 1255463204

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38

🟠 Elevated

Risk Flags

Extreme cost outlier (population + peer)High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

52,443

Total Claims

$11.9M

Drug Cost

713

Beneficiaries

$17K

Cost/Patient

Risk Score Breakdown 38/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-81%

Opioid rate vs peers

0.4% vs 2.2% avg

+1085%

Cost per patient vs peers

$17K vs $1,411 avg

+79%

Brand preference vs peers

19.0% vs 10.6% 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.

🔎 Data Overview

💰

Cost per patient is 1085% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

⚠️

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

224

Opioid Claims

$2,365

Opioid Cost

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 9,909 claims · $7.1M

Generic: 42,123 claims · $4.8M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Metformin Hcl530$1.4M
Diclofenac Sodium1,153$772K
Semaglutide735$755K
Omeprazole/Sodium Bicarbonate329$735K
Somatropin18$560K
Lipase/Protease/Amylase417$501K
Linaclotide613$344K
Dulaglutide301$328K
Apixaban427$287K
Sacubitril/Valsartan364$265K
Empagliflozin387$248K
Dapagliflozin Propanediol384$244K
Fluticasone/Umeclidin/Vilanter304$219K
Dihydroergotamine Mesylate56$176K
Icosapent Ethyl420$158K

Prescribing Profile

285

Unique Drugs

$1.3M

IRA Negotiated Drugs

$1.3M

GLP-1 Drugs

38.0

Anomaly Score

Patient Profile

77

Avg Age

59%

Female

1.75

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