⚠️

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 →

Sergio NeiraM.D.

Internal Medicine · Oxnard, CA 93036

NPI: 1043373194

Share:

21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

11,638

Total Claims

$1.9M

Drug Cost

758

Beneficiaries

$2,462

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

-39%

Opioid rate vs peers

1.4% vs 2.2% avg

+74%

Cost per patient vs peers

$2,462 vs $1,411 avg

+52%

Brand preference vs peers

16.2% 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

1.4%

Opioid Rate

158

Opioid Claims

$1,139

Opioid Cost

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 1,856 claims · $1.6M

Generic: 9,625 claims · $225K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin218$287K
Dulaglutide235$262K
Sitagliptin Phosphate77$118K
Dapagliflozin Propanediol85$113K
Insulin Glargine,hum.Rec.Anlog121$94K
Linaclotide88$82K
Apixaban81$71K
Rivaroxaban55$54K
Exenatide Microspheres42$51K
Insulin Degludec32$47K
Semaglutide34$35K
Insulin Glargine,hum.Rec.Anlog34$33K
Linagliptin29$32K
Mirabegron28$27K
Liraglutide12$24K

Prescribing Profile

138

Unique Drugs

$666K

IRA Negotiated Drugs

$321K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

76

Avg Age

54%

Female

1.41

Avg Risk Score

Explore More

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