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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 →

David NikniaPHYSICIAN ASSISTANT

Physician Assistant · Los Angeles, CA 90066

NPI: 1285816868

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25

🟡 Moderate

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128b4 · Date: 20250619 · State: CA

Risk Flags

Elevated antipsychotic prescribing (65+)OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

1,331

Total Claims

$233K

Drug Cost

178

Beneficiaries

$1,310

Cost/Patient

Risk Score Breakdown 25/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

+82%

Cost per patient vs peers

$1,310 vs $719 avg

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 1,247 claims · $174K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Omeprazole/Sodium Bicarbonate28$90K
Metformin Hcl11$29K
Sitagliptin Phosphate15$8,764
Dexlansoprazole16$4,030
Diclofenac Sodium11$3,513
Midodrine Hcl12$2,294
Lidocaine13$2,001
Donepezil Hcl67$1,591
Trazodone Hcl62$1,065
Memantine Hcl28$1,004
Quetiapine Fumarate21$954
Carbamazepine13$875
Sertraline Hcl43$759
Atorvastatin Calcium48$727
Enalapril Maleate27$717

Prescribing Profile

45

Unique Drugs

$8,764

IRA Negotiated Drugs

25.0

Anomaly Score

Patient Profile

71

Avg Age

39%

Female

1.85

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