⚠️

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 →

Hector MarchandM.D.

Internal Medicine · Valparaiso, IN 46383

NPI: 1134474091

Share:

9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

16,455

Total Claims

$2.1M

Drug Cost

1,081

Beneficiaries

$1,945

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

+76%

Opioid rate vs peers

3.9% vs 2.2% avg

+38%

Cost per patient vs peers

$1,945 vs $1,411 avg

+1%

Brand preference vs peers

10.7% 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

3.9%

Opioid Rate

648

Opioid Claims

$12K

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,744 claims · $1.7M

Generic: 14,513 claims · $355K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide191$400K
Dapagliflozin Propanediol109$187K
Fluticasone/Umeclidin/Vilanter95$132K
Empagliflozin70$99K
Sitagliptin Phosphate35$54K
Apixaban53$53K
Insulin Degludec29$51K
Insulin Glargine,hum.Rec.Anlog29$50K
Insulin Degludec45$44K
Icosapent Ethyl48$44K
Linagliptin31$39K
Rivaroxaban36$38K
Dulaglutide15$36K
Sitagliptin Phos/Metformin Hcl26$27K
Evolocumab25$24K

Prescribing Profile

161

Unique Drugs

$451K

IRA Negotiated Drugs

$457K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

75

Avg Age

49%

Female

1.15

Avg Risk Score

Explore More

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