⚠️

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 →

Julia FiorentinoMD

Internal Medicine · North Canton, OH 44720

NPI: 1013963628

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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

11,093

Total Claims

$833K

Drug Cost

666

Beneficiaries

$1,251

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

+16%

Opioid rate vs peers

2.6% vs 2.2% avg

-11%

Cost per patient vs peers

$1,251 vs $1,411 avg

-8%

Brand preference vs peers

9.8% 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

2.6%

Opioid Rate

288

Opioid Claims

$3,820

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,085 claims · $586K

Generic: 9,950 claims · $243K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban156$166K
Empagliflozin128$116K
Insulin Glargine,hum.Rec.Anlog46$54K
Rivaroxaban31$36K
Semaglutide17$25K
Insulin Degludec14$16K
Fluticasone Propion/Salmeterol43$16K
Tiotropium Bromide26$15K
Budesonide/Formoterol Fumarate19$13K
Lansoprazole83$12K
Levothyroxine Sodium759$11K
Exenatide Microspheres12$11K
Potassium Chloride100$9,164
Metoprolol Succinate246$8,246
Atorvastatin Calcium615$7,977

Prescribing Profile

133

Unique Drugs

$318K

IRA Negotiated Drugs

$25K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

76

Avg Age

76%

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