⚠️

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 →

Massimiliano VitaleM.D.

Internal Medicine · Macomb, MI 48044

NPI: 1124006333

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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

10,006

Total Claims

$847K

Drug Cost

696

Beneficiaries

$1,218

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

-66%

Opioid rate vs peers

0.8% vs 2.2% avg

-14%

Cost per patient vs peers

$1,218 vs $1,411 avg

+8%

Brand preference vs peers

11.4% 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

0.8%

Opioid Rate

77

Opioid Claims

$667

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,131 claims · $651K

Generic: 8,760 claims · $190K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin94$111K
Apixaban83$81K
Sitagliptin Phosphate48$62K
Rivaroxaban51$57K
Insulin Glargine,hum.Rec.Anlog44$46K
Dapagliflozin Propanediol52$40K
Liraglutide18$36K
Semaglutide16$35K
Dulaglutide19$20K
Fluticasone/Umeclidin/Vilanter17$15K
Insulin Lispro13$14K
Atorvastatin Calcium788$13K
Levothyroxine Sodium545$9,730
Dronedarone Hcl12$9,646
Losartan Potassium387$7,303

Prescribing Profile

122

Unique Drugs

$350K

IRA Negotiated Drugs

$90K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

52%

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