⚠️

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 →

Martin MadrigalPA-C

Physician Assistant · Montclair, CA 91763

NPI: 1043371636

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

8,578

Total Claims

$887K

Drug Cost

516

Beneficiaries

$1,719

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. 109,535 Physician Assistant providers

-98%

Opioid rate vs peers

0.2% vs 9.2% avg

+139%

Cost per patient vs peers

$1,719 vs $719 avg

+111%

Brand preference vs peers

14.1% vs 6.7% 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

13

Opioid Claims

$49

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,176 claims · $719K

Generic: 7,186 claims · $157K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide108$112K
Apixaban42$52K
Sitagliptin Phosphate38$51K
Linagliptin38$43K
Empagliflozin22$40K
Rivaroxaban35$35K
Insulin Glargine,hum.Rec.Anlog72$30K
Mirabegron26$24K
Dulaglutide18$22K
Insulin Glargine,hum.Rec.Anlog60$21K
Semaglutide12$20K
Insulin Aspart19$17K
Finerenone17$16K
Linaclotide17$15K
Insulin Glargine,hum.Rec.Anlog34$13K

Prescribing Profile

123

Unique Drugs

$208K

IRA Negotiated Drugs

$168K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

70

Avg Age

63%

Female

1.15

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