⚠️

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 →

Gregor ParonianM.D.

Internal Medicine · Pasadena, CA 91106

NPI: 1366627945

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30

🟠 Elevated

Risk Flags

Elevated cost per beneficiaryHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

40,780

Total Claims

$5.3M

Drug Cost

1,055

Beneficiaries

$4,981

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+13%

Opioid rate vs peers

2.5% vs 2.2% avg

+253%

Cost per patient vs peers

$4,981 vs $1,411 avg

+58%

Brand preference vs peers

16.8% 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

2.5%

Opioid Rate

1,030

Opioid Claims

$19K

Opioid Cost

1.5%

Long-Acting Rate

Brand vs Generic

83% generic

Brand: 6,777 claims · $3.9M

Generic: 33,599 claims · $1.4M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide273$285K
Empagliflozin313$264K
Icosapent Ethyl662$263K
Omeprazole/Sodium Bicarbonate102$241K
Linaclotide376$215K
Dapagliflozin Propanediol266$197K
Apixaban263$187K
Evolocumab231$163K
Diclofenac Sodium897$151K
Dulaglutide103$119K
Fluticasone/Umeclidin/Vilanter169$111K
Metformin Hcl25$108K
Lipase/Protease/Amylase90$105K
Dexlansoprazole384$100K
Adalimumab12$90K

Prescribing Profile

260

Unique Drugs

$872K

IRA Negotiated Drugs

$464K

GLP-1 Drugs

30.0

Anomaly Score

Patient Profile

75

Avg Age

54%

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