⚠️

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 →

Guillermo VasquezMD

Internal Medicine · Lakeland, FL 33803

NPI: 1093788499

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18

🟡 Moderate

Risk Flags

High long-acting opioid rate vs peersOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,891

Total Claims

$1.6M

Drug Cost

944

Beneficiaries

$1,680

Cost/Patient

Risk Score Breakdown 18/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-78%

Opioid rate vs peers

0.5% vs 2.2% avg

+19%

Cost per patient vs peers

$1,680 vs $1,411 avg

+79%

Brand preference vs peers

19.0% 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

0.5%

Opioid Rate

49

Opioid Claims

$1,177

Opioid Cost

22.4%

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 1,866 claims · $1.4M

Generic: 7,945 claims · $193K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban138$171K
Empagliflozin124$159K
Dapagliflozin Propanediol79$98K
Semaglutide65$81K
Fluticasone/Umeclidin/Vilanter82$75K
Sitagliptin Phosphate53$71K
Semaglutide31$63K
Rsvpref3 Antigen/As01e/Pf184$55K
Dulaglutide27$51K
Alirocumab62$46K
Umeclidinium Brm/Vilanterol Tr68$44K
Mirabegron50$35K
Pitavastatin Calcium43$33K
Insulin Glargine,hum.Rec.Anlog18$26K
Empagliflozin/Linagliptin19$25K

Prescribing Profile

123

Unique Drugs

$516K

IRA Negotiated Drugs

$214K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

74

Avg Age

50%

Female

1.46

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