⚠️

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 ManusM.D.

Internal Medicine · Bellaire, TX 77401

NPI: 1114334778

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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

9,509

Total Claims

$727K

Drug Cost

726

Beneficiaries

$1,002

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

-89%

Opioid rate vs peers

0.2% vs 2.2% avg

-29%

Cost per patient vs peers

$1,002 vs $1,411 avg

-4%

Brand preference vs peers

10.2% 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

0.2%

Opioid Rate

23

Opioid Claims

$96

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 970 claims · $523K

Generic: 8,497 claims · $203K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide47$83K
Apixaban75$83K
Empagliflozin44$65K
Mirabegron45$44K
Dulaglutide12$26K
Rosuvastatin Calcium590$15K
Fluticasone/Vilanterol21$12K
Levothyroxine Sodium99$9,819
Insulin Glargine,hum.Rec.Anlog13$9,396
Dapagliflozin Propanediol17$9,224
Atorvastatin Calcium596$8,692
Levothyroxine Sodium529$8,185
Ezetimibe120$8,139
Fluticasone Propion/Salmeterol19$7,525
Sitagliptin Phosphate12$6,755

Prescribing Profile

124

Unique Drugs

$163K

IRA Negotiated Drugs

$109K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

74%

Female

1.12

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