⚠️

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 →

Eduardo BalbonaM.D.

Internal Medicine · Jacksonville, FL 32204

NPI: 1073506168

Share:

6

🟢 Low

Risk Flags

Elevated antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

9,417

Total Claims

$708K

Drug Cost

577

Beneficiaries

$1,227

Cost/Patient

Risk Score Breakdown 6/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-13%

Cost per patient vs peers

$1,227 vs $1,411 avg

-10%

Brand preference vs peers

9.6% vs 10.6% avg

Brand vs Generic

90% generic

Brand: 902 claims · $535K

Generic: 8,498 claims · $172K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Tirzepatide54$64K
Empagliflozin78$58K
Apixaban77$58K
Dapagliflozin Propanediol36$47K
Semaglutide40$39K
Dulaglutide20$33K
Rivaroxaban37$31K
Sacubitril/Valsartan34$29K
Sitagliptin Phosphate26$20K
Linagliptin20$17K
Sitagliptin Phos/Metformin Hcl18$15K
Fluticasone Propion/Salmeterol16$9,463
Nebivolol Hcl96$8,685
Telmisartan161$7,446
Rosuvastatin Calcium426$7,137

Prescribing Profile

115

Unique Drugs

$242K

IRA Negotiated Drugs

$137K

GLP-1 Drugs

6.0

Anomaly Score

Patient Profile

76

Avg Age

52%

Female

1.01

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