⚠️

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 →

Tony VillenaMD

Family Practice · Jacksonville Beach, FL 32250

NPI: 1104844398

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,859

Total Claims

$1.1M

Drug Cost

1,256

Beneficiaries

$905

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-11%

Opioid rate vs peers

2.3% vs 2.6% avg

-15%

Cost per patient vs peers

$905 vs $1,068 avg

+44%

Brand preference vs peers

13.0% 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

2.3%

Opioid Rate

226

Opioid Claims

$2,639

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,273 claims · $950K

Generic: 8,554 claims · $185K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban89$99K
Sitagliptin Phosphate68$87K
Dulaglutide49$70K
Empagliflozin39$61K
Rivaroxaban45$60K
Mirabegron39$33K
Dapagliflozin Propanediol18$30K
Fluticasone/Umeclidin/Vilanter29$29K
Semaglutide26$28K
Sitagliptin Phos/Metformin Hcl15$26K
Sitagliptin Phos/Metformin Hcl27$23K
Evolocumab24$22K
Tirzepatide15$19K
Budesonide/Formoterol Fumarate20$16K
Rimegepant Sulfate11$12K

Prescribing Profile

133

Unique Drugs

$337K

IRA Negotiated Drugs

$116K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

74

Avg Age

55%

Female

1.13

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