⚠️

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 →

Margaret OswiecimskiMD

Internal Medicine · Fort Myers, FL 33907

NPI: 1104805761

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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

12,691

Total Claims

$1.2M

Drug Cost

1,198

Beneficiaries

$1,010

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

-52%

Opioid rate vs peers

1.1% vs 2.2% avg

-28%

Cost per patient vs peers

$1,010 vs $1,411 avg

+12%

Brand preference vs peers

11.9% 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

1.1%

Opioid Rate

135

Opioid Claims

$766

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,501 claims · $961K

Generic: 11,122 claims · $245K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban146$178K
Semaglutide92$123K
Empagliflozin76$79K
Dulaglutide42$58K
Sitagliptin Phosphate43$49K
Rivaroxaban28$38K
Mirabegron32$35K
Insulin Glargine,hum.Rec.Anlog41$29K
Fluticasone/Umeclidin/Vilanter28$26K
Insulin Aspart19$26K
Denosumab15$25K
Insulin Lispro17$23K
Sitagliptin Phos/Metformin Hcl23$23K
Insulin Nph Hum/Reg Insulin Hm14$19K
Sacubitril/Valsartan14$18K

Prescribing Profile

158

Unique Drugs

$403K

IRA Negotiated Drugs

$180K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

63%

Female

1.11

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