⚠️

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 →

Jose VinagreMD

Internal Medicine · Indian Orchard, MA 1151

NPI: 1053329045

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24

🟡 Moderate

ML Fraud Detection Score: 85%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

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Risk Flags

High long-acting opioid rate vs peersElevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,176

Total Claims

$843K

Drug Cost

633

Beneficiaries

$1,331

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+20%

Opioid rate vs peers

2.7% vs 2.2% avg

-6%

Cost per patient vs peers

$1,331 vs $1,411 avg

-7%

Brand preference vs peers

9.9% 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

🤖

ML fraud detection score of 85% indicates prescribing patterns with significant similarity to confirmed fraud cases. 17 out of 20 decision trees flagged this provider.

⚠️

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

2.7%

Opioid Rate

246

Opioid Claims

$30K

Opioid Cost

32.1%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 896 claims · $640K

Generic: 8,181 claims · $199K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban159$161K
Insulin Glargine,hum.Rec.Anlog75$61K
Sitagliptin Phosphate39$44K
Dapagliflozin Propanediol45$41K
Oxycodone Hcl26$25K
Dulaglutide19$23K
Atorvastatin Calcium717$20K
Rivaroxaban15$19K
Linaclotide13$18K
Empagliflozin11$17K
Tirzepatide14$17K
Sitagliptin Phos/Metformin Hcl11$15K
Salmeterol Xinafoate21$15K
Budesonide/Formoterol Fumarate17$14K
Atorvastatin Calcium12$13K

Prescribing Profile

122

Unique Drugs

$283K

IRA Negotiated Drugs

$39K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

76

Avg Age

56%

Female

1.00

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