⚠️

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 →

Alfredo MelgarMD

Internal Medicine · Miami, FL 33165

NPI: 1093981912

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24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

47,627

Total Claims

$3.7M

Drug Cost

1,723

Beneficiaries

$2,130

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-94%

Opioid rate vs peers

0.1% vs 2.2% avg

+51%

Cost per patient vs peers

$2,130 vs $1,411 avg

+68%

Brand preference vs peers

17.9% 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

⚠️

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

0.1%

Opioid Rate

61

Opioid Claims

$755

Opioid Cost

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 8,484 claims · $2.6M

Generic: 39,014 claims · $1.0M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban1,855$590K
Valbenazine Tosylate53$296K
Dulaglutide290$169K
Rivaroxaban360$109K
Vibegron353$91K
Sacubitril/Valsartan221$74K
Insulin Aspart465$68K
Empagliflozin161$58K
Sitagliptin Phosphate124$51K
Bictegrav/Emtricit/Tenofov Ala12$48K
Semaglutide46$46K
Memantine Hcl706$43K
Pimavanserin Tartrate18$43K
Epoetin Alfa67$42K
Budesonide/Formoterol Fumarate96$39K

Prescribing Profile

308

Unique Drugs

$1.0M

IRA Negotiated Drugs

$215K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

81

Avg Age

66%

Female

2.79

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