⚠️

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 →

Ramiro MontalvoM.D.

Internal Medicine · Brookhaven, MS 39601

NPI: 1225147135

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24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

24,964

Total Claims

$1.9M

Drug Cost

1,008

Beneficiaries

$1,893

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-48%

Opioid rate vs peers

1.2% vs 2.2% avg

+34%

Cost per patient vs peers

$1,893 vs $1,411 avg

+13%

Brand preference vs peers

12.0% 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

1.2%

Opioid Rate

290

Opioid Claims

$16K

Opioid Cost

5.9%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,988 claims · $1.5M

Generic: 21,875 claims · $389K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban291$206K
Semaglutide148$168K
Rivaroxaban166$108K
Insulin Glargine,hum.Rec.Anlog81$84K
Dapagliflozin Propanediol107$73K
Insulin Degludec78$72K
Empagliflozin82$69K
Tirzepatide31$46K
Fluticasone/Umeclidin/Vilanter51$42K
Insulin Aspart34$40K
Insulin Glargine,hum.Rec.Anlog32$31K
Evolocumab22$29K
Insulin Aspart38$27K
Insulin Glargine,hum.Rec.Anlog34$27K
Sitagliptin Phosphate38$27K

Prescribing Profile

223

Unique Drugs

$573K

IRA Negotiated Drugs

$244K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

75

Avg Age

57%

Female

1.18

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