⚠️

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 →

Norma Rivera-OpioM.D.

Internal Medicine · Houston, TX 77091

NPI: 1093767410

Share:

15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

11,244

Total Claims

$1.2M

Drug Cost

635

Beneficiaries

$1,853

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. 110,156 Internal Medicine providers

+72%

Opioid rate vs peers

3.9% vs 2.2% avg

+31%

Cost per patient vs peers

$1,853 vs $1,411 avg

+7%

Brand preference vs peers

11.4% 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

3.9%

Opioid Rate

433

Opioid Claims

$9,195

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,266 claims · $906K

Generic: 9,814 claims · $259K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide93$101K
Empagliflozin69$92K
Apixaban46$44K
Sitagliptin Phosphate37$44K
Mirabegron48$43K
Semaglutide30$42K
Denosumab22$38K
Icosapent Ethyl51$35K
Insulin Degludec37$31K
Dulaglutide19$31K
Rivaroxaban18$30K
Insulin Degludec45$26K
Linaclotide22$26K
Icosapent Ethyl49$26K
Insulin Aspart20$25K

Prescribing Profile

142

Unique Drugs

$256K

IRA Negotiated Drugs

$174K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

77%

Female

1.47

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