⚠️

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 →

Jack ZhouMD

Internal Medicine · Honolulu, HI 96817

NPI: 1265402168

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17

🟡 Moderate

Risk Flags

Elevated long-acting opioid rateOpioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

26,517

Total Claims

$2.5M

Drug Cost

989

Beneficiaries

$2,544

Cost/Patient

Risk Score Breakdown 17/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-82%

Opioid rate vs peers

0.4% vs 2.2% avg

+80%

Cost per patient vs peers

$2,544 vs $1,411 avg

-5%

Brand preference vs peers

10.1% vs 10.6% 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

108

Opioid Claims

$3,189

Opioid Cost

18.5%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 2,672 claims · $2.0M

Generic: 23,769 claims · $551K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin316$250K
Sitagliptin Phosphate239$217K
Dulaglutide169$196K
Apixaban207$165K
Linaclotide252$163K
Denosumab94$155K
Tenofovir Alafenamide73$109K
Dapagliflozin Propanediol102$94K
Sitagliptin Phos/Metformin Hcl112$91K
Fluticasone/Umeclidin/Vilanter74$58K
Exenatide Microspheres39$47K
Semaglutide40$41K
Amlodipine Bes/Olmesartan Med605$37K
Budesonide/Formoterol Fumarate69$35K
Cyclosporine50$34K

Prescribing Profile

166

Unique Drugs

$757K

IRA Negotiated Drugs

$257K

GLP-1 Drugs

17.0

Anomaly Score

Patient Profile

77

Avg Age

57%

Female

1.63

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