⚠️

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 →

Otto Goyco

Internal Medicine · Cumming, GA 30041

NPI: 1013990431

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18

🟡 Moderate

Risk Flags

High long-acting opioid rate vs peersOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,125

Total Claims

$908K

Drug Cost

836

Beneficiaries

$1,086

Cost/Patient

Risk Score Breakdown 18/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+4%

Opioid rate vs peers

2.3% vs 2.2% avg

-23%

Cost per patient vs peers

$1,086 vs $1,411 avg

+43%

Brand preference vs peers

15.2% 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

2.3%

Opioid Rate

213

Opioid Claims

$50K

Opioid Cost

31.5%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,382 claims · $756K

Generic: 7,702 claims · $150K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol81$78K
Empagliflozin62$72K
Apixaban62$66K
Dulaglutide47$61K
Semaglutide31$42K
Hydrocodone Bitartrate31$28K
Rivaroxaban33$24K
Tirzepatide21$23K
Insulin Degludec26$20K
Insulin Aspart18$17K
Linaclotide19$16K
Insulin Glargine,hum.Rec.Anlog24$14K
Budesonide/Glycopyr/Formoterol15$11K
Sitagliptin Phos/Metformin Hcl19$11K
Tiotropium Bromide16$9,974

Prescribing Profile

141

Unique Drugs

$256K

IRA Negotiated Drugs

$126K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

76

Avg Age

51%

Female

1.09

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