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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 →

Arlene RamosMD

Family Practice · Thomasville, NC 27360

NPI: 1225098387

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

18,686

Total Claims

$1.8M

Drug Cost

992

Beneficiaries

$1,823

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-68%

Opioid rate vs peers

0.8% vs 2.6% avg

+71%

Cost per patient vs peers

$1,823 vs $1,068 avg

+59%

Brand preference vs peers

14.3% vs 9.0% 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

156

Opioid Claims

$881

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,660 claims · $1.5M

Generic: 15,891 claims · $254K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol244$186K
Sitagliptin Phosphate136$144K
Empagliflozin130$140K
Semaglutide72$89K
Apixaban101$72K
Rivaroxaban84$70K
Mirabegron110$70K
Insulin Glargine,hum.Rec.Anlog60$54K
Fluticasone/Vilanterol90$48K
Budesonide/Formoterol Fumarate106$47K
Dulaglutide39$46K
Linaclotide40$44K
Denosumab24$41K
Liraglutide19$40K
Umeclidinium Brm/Vilanterol Tr73$39K

Prescribing Profile

173

Unique Drugs

$613K

IRA Negotiated Drugs

$175K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

71

Avg Age

65%

Female

1.39

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