⚠️

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 →

Maria Emilia CunananM.D.

Family Practice · Porterville, CA 93257

NPI: 1073570834

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

8,653

Total Claims

$1.3M

Drug Cost

585

Beneficiaries

$2,200

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+38%

Opioid rate vs peers

3.5% vs 2.6% avg

+106%

Cost per patient vs peers

$2,200 vs $1,068 avg

+54%

Brand preference vs peers

13.9% vs 9.0% 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

3.5%

Opioid Rate

307

Opioid Claims

$4,230

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,198 claims · $1.2M

Generic: 7,419 claims · $126K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin220$255K
Semaglutide114$152K
Sitagliptin Phosphate56$81K
Dapagliflozin Propanediol46$67K
Fluticasone/Umeclidin/Vilanter67$63K
Semaglutide30$49K
Sitagliptin Phos/Metformin Hcl37$48K
Linagliptin36$43K
Apixaban28$38K
Empaglifloz/Linaglip/Metformin14$27K
Insulin Glargine,hum.Rec.Anlog32$26K
Sitagliptin Phos/Metformin Hcl25$22K
Insulin Glargine,hum.Rec.Anlog22$21K
Linaclotide18$20K
Insulin Glargine,hum.Rec.Anlog14$18K

Prescribing Profile

122

Unique Drugs

$441K

IRA Negotiated Drugs

$201K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

73%

Female

1.05

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