⚠️

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 →

Melchor MadarangMD

Internal Medicine · The Villages, FL 32159

NPI: 1013975366

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

11,172

Total Claims

$3.3M

Drug Cost

1,049

Beneficiaries

$3,190

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-80%

Opioid rate vs peers

0.4% vs 2.2% avg

+126%

Cost per patient vs peers

$3,190 vs $1,411 avg

+10%

Brand preference vs peers

11.7% 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

0.4%

Opioid Rate

50

Opioid Claims

$321

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,302 claims · $3.1M

Generic: 9,791 claims · $233K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Asfotase Alfa13$1.9M
Bictegrav/Emtricit/Tenofov Ala53$233K
Apixaban192$222K
Elviteg/Cob/Emtri/Tenof Alafen21$79K
Rivaroxaban52$58K
Sitagliptin Phosphate55$58K
Emtricitabine/Tenofov Alafenam18$46K
Empagliflozin31$45K
Dolutegravir Sodium17$39K
Insulin Detemir19$34K
Insulin Aspart28$31K
Fluticasone/Umeclidin/Vilanter24$30K
Dapagliflozin Propanediol15$23K
Evolocumab32$19K
Mirabegron13$17K

Prescribing Profile

143

Unique Drugs

$436K

IRA Negotiated Drugs

$14K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

75

Avg Age

45%

Female

1.82

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