⚠️

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 →

Carmel BarrauMD

Internal Medicine · Miami, FL 33150

NPI: 1023077138

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

15,575

Total Claims

$1.2M

Drug Cost

882

Beneficiaries

$1,360

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

-67%

Opioid rate vs peers

0.7% vs 2.2% avg

-4%

Cost per patient vs peers

$1,360 vs $1,411 avg

-31%

Brand preference vs peers

7.4% 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

0.7%

Opioid Rate

115

Opioid Claims

$780

Opioid Cost

Long-Acting Rate

Brand vs Generic

93% generic

Brand: 1,136 claims · $976K

Generic: 14,251 claims · $213K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban165$217K
Empagliflozin/Linagliptin72$101K
Rivaroxaban42$57K
Insulin Glargine,hum.Rec.Anlog58$49K
Insulin Nph Hum/Reg Insulin Hm80$47K
Sacubitril/Valsartan27$42K
Insulin Aspart Prot/Insuln Asp23$38K
Sitagliptin Phosphate26$36K
Insulin Glargine,hum.Rec.Anlog41$32K
Semaglutide11$29K
Insulin Aspart14$24K
Dulaglutide12$24K
Atorvastatin Calcium1,613$21K
Insulin Aspart27$19K
Albuterol Sulfate267$18K

Prescribing Profile

127

Unique Drugs

$395K

IRA Negotiated Drugs

$53K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

74

Avg Age

54%

Female

2.05

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