⚠️

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 →

Michelle TulangMD

Internal Medicine · Jacksonville, FL 32224

NPI: 1003073586

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13

🟢 Low

Risk Flags

Elevated long-acting opioid rateOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

2,737

Total Claims

$271K

Drug Cost

327

Beneficiaries

$829

Cost/Patient

Risk Score Breakdown 13/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+135%

Opioid rate vs peers

5.3% vs 2.2% avg

-41%

Cost per patient vs peers

$829 vs $1,411 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

5.3%

Opioid Rate

144

Opioid Claims

$6,231

Opioid Cost

17.4%

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 2,336 claims · $64K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban55$52K
Semaglutide25$27K
Empagliflozin15$19K
Budesonide/Formoterol Fumarate12$6,382
Atorvastatin Calcium147$2,837
Fentanyl24$2,322
Levothyroxine Sodium21$2,138
Hydrocodone/Acetaminophen61$2,030
Esomeprazole Magnesium27$1,777
Omeprazole95$1,766
Losartan Potassium104$1,643
Levothyroxine Sodium138$1,640
Rosuvastatin Calcium89$1,502
Amlodipine Besylate117$977
Ezetimibe19$888

Prescribing Profile

55

Unique Drugs

$71K

IRA Negotiated Drugs

$27K

GLP-1 Drugs

13.0

Anomaly Score

Patient Profile

77

Avg Age

62%

Female

1.04

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 of wrongdoing.Methodology · About · Dispute this data