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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 →

Carla Acra DespradelM.D.

Internal Medicine · San Antonio, TX 78214

NPI: 1114181666

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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

11,007

Total Claims

$1.3M

Drug Cost

705

Beneficiaries

$1,840

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

-23%

Opioid rate vs peers

1.7% vs 2.2% avg

+30%

Cost per patient vs peers

$1,840 vs $1,411 avg

+14%

Brand preference vs peers

12.2% 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

1.7%

Opioid Rate

190

Opioid Claims

$1,966

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,326 claims · $1.1M

Generic: 9,577 claims · $199K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin147$226K
Semaglutide75$94K
Tirzepatide64$71K
Dulaglutide19$47K
Empagliflozin/Metformin Hcl33$47K
Dapagliflozin Propanediol45$45K
Insulin Glargine,hum.Rec.Anlog68$43K
Sitagliptin Phosphate25$40K
Liraglutide15$32K
Exenatide Microspheres17$28K
Budesonide/Formoterol Fumarate46$27K
Apixaban33$26K
Sitagliptin Phos/Metformin Hcl13$22K
Mirabegron23$21K
Semaglutide19$20K

Prescribing Profile

134

Unique Drugs

$336K

IRA Negotiated Drugs

$264K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

72

Avg Age

79%

Female

1.87

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