⚠️

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 →

Renee MicielliMD

Internal Medicine · Westminster, CO 80234

NPI: 1134248545

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

13,772

Total Claims

$649K

Drug Cost

1,420

Beneficiaries

$457

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. 110,156 Internal Medicine providers

+148%

Opioid rate vs peers

5.6% vs 2.2% avg

-68%

Cost per patient vs peers

$457 vs $1,411 avg

-9%

Brand preference vs peers

9.7% 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

5.6%

Opioid Rate

765

Opioid Claims

$14K

Opioid Cost

2.4%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,331 claims · $418K

Generic: 12,354 claims · $228K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin147$88K
Dabigatran Etexilate Mesylate271$75K
Tiotropium Bromide69$55K
Semaglutide61$54K
Tiotropium Br/Olodaterol Hcl35$29K
Fluticasone Propion/Salmeterol105$27K
Liraglutide24$20K
Apixaban13$19K
Insulin Nph Human Isophane113$16K
Levothyroxine Sodium677$14K
Atorvastatin Calcium928$13K
Gabapentin376$7,576
Amlodipine Besylate590$7,562
Evolocumab13$7,525
Omeprazole638$7,005

Prescribing Profile

121

Unique Drugs

$107K

IRA Negotiated Drugs

$73K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

77

Avg Age

63%

Female

1.25

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