⚠️

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 →

Carlos Vinas PalominoM.D.

Internal Medicine · Hobe Sound, FL 33455

NPI: 1043565062

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

11,512

Total Claims

$896K

Drug Cost

1,230

Beneficiaries

$729

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

-52%

Opioid rate vs peers

1.1% vs 2.2% avg

-48%

Cost per patient vs peers

$729 vs $1,411 avg

-10%

Brand preference vs peers

9.6% 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

1.1%

Opioid Rate

123

Opioid Claims

$724

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,096 claims · $730K

Generic: 10,350 claims · $164K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban122$132K
Semaglutide87$104K
Sitagliptin Phosphate38$58K
Bictegrav/Emtricit/Tenofov Ala12$50K
Rivaroxaban33$47K
Mirabegron21$28K
Dulaglutide14$25K
Empagliflozin24$22K
Budesonide/Formoterol Fumarate26$14K
Atorvastatin Calcium703$8,112
Levothyroxine Sodium487$7,228
Insulin Detemir17$6,830
Ticagrelor11$6,205
Rosuvastatin Calcium309$5,061
Gabapentin222$4,749

Prescribing Profile

144

Unique Drugs

$259K

IRA Negotiated Drugs

$129K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

75

Avg Age

56%

Female

1.14

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