⚠️

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 →

Marissa GonzalezM.D.

Family Practice · Laredo, TX 78041

NPI: 1104053602

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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

10,152

Total Claims

$1.5M

Drug Cost

598

Beneficiaries

$2,463

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

-48%

Opioid rate vs peers

1.3% vs 2.6% avg

+131%

Cost per patient vs peers

$2,463 vs $1,068 avg

+68%

Brand preference vs peers

15.1% 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

1.3%

Opioid Rate

135

Opioid Claims

$2,747

Opioid Cost

8.9%

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 1,517 claims · $1.3M

Generic: 8,514 claims · $199K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin160$189K
Semaglutide135$187K
Dapagliflozin Propanediol66$78K
Sitagliptin Phosphate74$75K
Dulaglutide34$59K
Insulin Glargine,hum.Rec.Anlog49$49K
Semaglutide20$44K
Fluticasone/Umeclidin/Vilanter37$38K
Mirabegron65$36K
Linagliptin28$36K
Insulin Lispro Protamin/Lispro18$35K
Insulin Aspart Prot/Insuln Asp26$32K
Apixaban33$32K
Linaclotide37$29K
Tirzepatide24$26K

Prescribing Profile

156

Unique Drugs

$374K

IRA Negotiated Drugs

$316K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

71

Avg Age

70%

Female

1.32

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