⚠️

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 →

Paul BulatMD

Internal Medicine · Fall River, MA 02721

NPI: 1265459218

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31

🟠 Elevated

Risk Flags

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

19,371

Total Claims

$1.2M

Drug Cost

530

Beneficiaries

$2,282

Cost/Patient

Risk Score Breakdown 31/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-45%

Opioid rate vs peers

1.2% vs 2.2% avg

+62%

Cost per patient vs peers

$2,282 vs $1,411 avg

+40%

Brand preference vs peers

14.9% 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

1.2%

Opioid Rate

237

Opioid Claims

$4,354

Opioid Cost

18.6%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 2,857 claims · $852K

Generic: 16,379 claims · $350K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban923$246K
Rivaroxaban179$50K
Fluticasone/Umeclidin/Vilanter48$25K
Mirabegron95$21K
Dulaglutide21$16K
Rsv Vacc, Pref A And Pref B/Pf46$15K
Sitagliptin Phosphate56$14K
Divalproex Sodium236$14K
Paliperidone Palmitate11$13K
Budesonide/Formoterol Fumarate34$13K
Tiotropium Bromide35$13K
Atorvastatin Calcium796$11K
Pantoprazole Sodium403$11K
Ipratropium/Albuterol Sulfate20$10K
Potassium Chloride226$9,953

Prescribing Profile

186

Unique Drugs

$331K

IRA Negotiated Drugs

$16K

GLP-1 Drugs

31.0

Anomaly Score

Patient Profile

82

Avg Age

71%

Female

2.40

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