⚠️

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 →

Sara Cruz-LunaMD

Internal Medicine · Clearwater, FL 33756

NPI: 1023297702

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

11,860

Total Claims

$1.4M

Drug Cost

663

Beneficiaries

$2,086

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+121%

Opioid rate vs peers

5.0% vs 2.2% avg

+48%

Cost per patient vs peers

$2,086 vs $1,411 avg

+19%

Brand preference vs peers

12.7% 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

5.0%

Opioid Rate

588

Opioid Claims

$12K

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,489 claims · $1.2M

Generic: 10,250 claims · $202K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide81$170K
Semaglutide87$166K
Empagliflozin95$136K
Apixaban78$85K
Fluticasone/Umeclidin/Vilanter69$81K
Tirzepatide37$65K
Dapagliflozin Propanediol56$60K
Rivaroxaban43$42K
Umeclidinium Brm/Vilanterol Tr28$36K
Insulin Aspart Prot/Insuln Asp12$26K
Fluticasone/Vilanterol27$25K
Budesonide/Formoterol Fumarate26$24K
Albuterol Sulfate286$19K
Tiotropium Br/Olodaterol Hcl20$17K
Insulin Nph Hum/Reg Insulin Hm32$14K

Prescribing Profile

158

Unique Drugs

$322K

IRA Negotiated Drugs

$401K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

74

Avg Age

66%

Female

2.41

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