⚠️

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 →

Elliot MelecioM.D.

Internal Medicine · Vega Alta, PR 00692

NPI: 1154351435

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21

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

30,958

Total Claims

$2.7M

Drug Cost

907

Beneficiaries

$3,023

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-96%

Opioid rate vs peers

0.1% vs 2.2% avg

+114%

Cost per patient vs peers

$3,023 vs $1,411 avg

+41%

Brand preference vs peers

15.0% 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

0.1%

Opioid Rate

30

Opioid Claims

$234

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 4,543 claims · $2.2M

Generic: 25,795 claims · $486K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate202$244K
Empagliflozin187$177K
Insulin Glargine,hum.Rec.Anlog340$174K
Sitagliptin Phos/Metformin Hcl162$148K
Apixaban228$142K
Dulaglutide141$131K
Levothyroxine Sodium1,035$104K
Dapagliflozin Propanediol106$92K
Rivaroxaban117$89K
Linagliptin72$84K
Elviteg/Cob/Emtri/Tenof Alafen18$69K
Insulin Lispro144$63K
Fluticasone/Vilanterol128$52K
Sitagliptin Phos/Metformin Hcl43$46K
Empagliflozin/Metformin Hcl49$44K

Prescribing Profile

191

Unique Drugs

$764K

IRA Negotiated Drugs

$158K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

74

Avg Age

58%

Female

1.62

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