⚠️

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 →

Roberto ViguillaM.D.

Family Practice · Roscommon, MI 48653

NPI: 1013992536

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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

9,582

Total Claims

$1.3M

Drug Cost

652

Beneficiaries

$1,945

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. 106,889 Family Practice providers

+49%

Opioid rate vs peers

3.8% vs 2.6% avg

+82%

Cost per patient vs peers

$1,945 vs $1,068 avg

+54%

Brand preference vs peers

13.8% vs 9.0% 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

3.8%

Opioid Rate

367

Opioid Claims

$6,986

Opioid Cost

4.4%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,310 claims · $1.1M

Generic: 8,159 claims · $208K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide57$116K
Apixaban76$100K
Empagliflozin63$97K
Tirzepatide50$58K
Insulin Glargine,hum.Rec.Anlog73$53K
Sitagliptin Phosphate24$38K
Dapagliflozin Propanediol25$32K
Budesonide/Formoterol Fumarate42$32K
Rivaroxaban25$30K
Empagliflozin/Linagliptin21$25K
Insulin Aspart28$22K
Canagliflozin13$21K
Insulin Glargine,hum.Rec.Anlog18$21K
Fluticasone/Vilanterol30$16K
Fluticasone/Umeclidin/Vilanter19$15K

Prescribing Profile

143

Unique Drugs

$319K

IRA Negotiated Drugs

$174K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

72

Avg Age

49%

Female

1.19

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