⚠️

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 →

Marian Irizarry FebresMD

Internal Medicine · Lutz, FL 33559

NPI: 1003189036

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15

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,194

Total Claims

$690K

Drug Cost

665

Beneficiaries

$1,037

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-88%

Opioid rate vs peers

0.3% vs 2.2% avg

-26%

Cost per patient vs peers

$1,037 vs $1,411 avg

+4%

Brand preference vs peers

11.1% 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

0.3%

Opioid Rate

25

Opioid Claims

$81

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,008 claims · $610K

Generic: 8,085 claims · $76K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide88$95K
Apixaban80$79K
Empagliflozin63$66K
Semaglutide40$58K
Budesonide/Formoterol Fumarate61$32K
Insulin Glargine,hum.Rec.Anlog19$24K
Insulin Glargine,hum.Rec.Anlog27$21K
Tiotropium Bromide30$19K
Liraglutide12$18K
Insulin Regular, Human16$11K
Dapagliflozin Propanediol11$9,077
Fluticasone/Vilanterol16$7,637
Insulin Glargine,hum.Rec.Anlog11$7,138
Rosuvastatin Calcium711$6,081
Levothyroxine Sodium296$4,049

Prescribing Profile

123

Unique Drugs

$155K

IRA Negotiated Drugs

$171K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

57%

Female

1.97

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