⚠️

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 →

Mark VigMD

Internal Medicine · Tyler, TX 75702

NPI: 1023251527

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

12,163

Total Claims

$1.0M

Drug Cost

900

Beneficiaries

$1,130

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

-23%

Opioid rate vs peers

1.7% vs 2.2% avg

-20%

Cost per patient vs peers

$1,130 vs $1,411 avg

+5%

Brand preference vs peers

11.1% 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

1.7%

Opioid Rate

210

Opioid Claims

$4,550

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,346 claims · $803K

Generic: 10,762 claims · $212K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin193$204K
Semaglutide80$99K
Dulaglutide77$86K
Apixaban49$45K
Tirzepatide28$35K
Tiotropium Bromide35$26K
Liraglutide13$26K
Sitagliptin Phosphate24$25K
Rivaroxaban27$24K
Mirabegron27$20K
Insulin Glargine,hum.Rec.Anlog25$12K
Atorvastatin Calcium752$11K
Fluticasone Propion/Salmeterol42$11K
Evolocumab15$9,990
Insulin Glargine,hum.Rec.Anlog19$9,973

Prescribing Profile

127

Unique Drugs

$298K

IRA Negotiated Drugs

$246K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

75

Avg Age

46%

Female

1.23

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