⚠️

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 →

Kenneth BernalDO

Family Practice · Rockwall, TX 75087

NPI: 1023087434

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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

11,361

Total Claims

$1.3M

Drug Cost

887

Beneficiaries

$1,424

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

+42%

Opioid rate vs peers

3.7% vs 2.6% avg

+33%

Cost per patient vs peers

$1,424 vs $1,068 avg

+39%

Brand preference vs peers

12.6% 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

3.7%

Opioid Rate

417

Opioid Claims

$11K

Opioid Cost

7.7%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,415 claims · $1.0M

Generic: 9,859 claims · $223K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide91$164K
Tirzepatide88$119K
Dapagliflozin Propanediol55$69K
Semaglutide45$59K
Empagliflozin38$51K
Apixaban39$45K
Rivaroxaban48$44K
Linaclotide45$37K
Fluticasone/Umeclidin/Vilanter36$34K
Sitagliptin Phosphate27$32K
Insulin Glargine,hum.Rec.Anlog33$28K
Mirabegron37$27K
Budesonide/Glycopyr/Formoterol38$27K
Insulin Glargine,hum.Rec.Anlog13$27K
Linagliptin18$21K

Prescribing Profile

160

Unique Drugs

$240K

IRA Negotiated Drugs

$341K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

73

Avg Age

52%

Female

1.02

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