⚠️

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 →

Jose PenaM.D.

Internal Medicine · Donna, TX 78537

NPI: 1205875721

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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

22,979

Total Claims

$5.7M

Drug Cost

2,562

Beneficiaries

$2,238

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

-38%

Opioid rate vs peers

1.4% vs 2.2% avg

+59%

Cost per patient vs peers

$2,238 vs $1,411 avg

+84%

Brand preference vs peers

19.5% 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

1.4%

Opioid Rate

317

Opioid Claims

$4,450

Opioid Cost

4.1%

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 4,351 claims · $5.2M

Generic: 17,908 claims · $476K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol493$720K
Empagliflozin417$639K
Semaglutide412$608K
Dulaglutide305$571K
Semaglutide114$272K
Mirabegron179$199K
Tirzepatide127$177K
Insulin Degludec/Liraglutide91$164K
Liraglutide61$152K
Linaclotide135$131K
Insulin Degludec154$128K
Sitagliptin Phosphate82$123K
Apixaban88$116K
Sacubitril/Valsartan67$111K
Linagliptin73$95K

Prescribing Profile

174

Unique Drugs

$1.8M

IRA Negotiated Drugs

$1.8M

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

73

Avg Age

56%

Female

2.13

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