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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 →

Pedro PenaloMD

Internal Medicine · Weslaco, TX 78596

NPI: 1104920859

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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

16,158

Total Claims

$3.7M

Drug Cost

1,631

Beneficiaries

$2,265

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

+47%

Opioid rate vs peers

3.3% vs 2.2% avg

+60%

Cost per patient vs peers

$2,265 vs $1,411 avg

+80%

Brand preference vs peers

19.1% 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

3.3%

Opioid Rate

530

Opioid Claims

$18K

Opioid Cost

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 3,025 claims · $3.3M

Generic: 12,781 claims · $362K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin215$349K
Dapagliflozin Propanediol231$338K
Semaglutide194$320K
Dulaglutide162$274K
Apixaban103$137K
Sitagliptin Phosphate86$128K
Linagliptin90$111K
Semaglutide46$109K
Mirabegron91$109K
Interferon Beta-1b12$106K
Rivaroxaban78$104K
Insulin Degludec92$93K
Sitagliptin Phos/Metformin Hcl55$71K
Fluticasone/Umeclidin/Vilanter72$63K
Linaclotide60$62K

Prescribing Profile

164

Unique Drugs

$1.1M

IRA Negotiated Drugs

$703K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

73

Avg Age

58%

Female

1.86

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