⚠️

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 →

Jean AlvesM.D.

Internal Medicine · Dorchester, MA 2122

NPI: 1043259138

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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

8,567

Total Claims

$976K

Drug Cost

455

Beneficiaries

$2,145

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. 110,156 Internal Medicine providers

-90%

Opioid rate vs peers

0.2% vs 2.2% avg

+52%

Cost per patient vs peers

$2,145 vs $1,411 avg

+13%

Brand preference vs peers

12.0% 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

0.2%

Opioid Rate

20

Opioid Claims

$79

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,004 claims · $795K

Generic: 7,360 claims · $174K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban141$156K
Dulaglutide98$126K
Semaglutide31$48K
Empagliflozin34$45K
Insulin Degludec46$40K
Rivaroxaban33$38K
Insulin Glargine,hum.Rec.Anlog62$30K
Lipase/Protease/Amylase11$25K
Fluticasone Propionate39$20K
Tenofovir Alafenamide11$18K
Sacubitril/Valsartan16$16K
Insulin Glargine,hum.Rec.Anlog13$11K
Atorvastatin Calcium661$10K
Fluticasone Propion/Salmeterol26$9,287
Budesonide/Formoterol Fumarate23$8,281

Prescribing Profile

101

Unique Drugs

$254K

IRA Negotiated Drugs

$174K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

77

Avg Age

59%

Female

1.30

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