⚠️

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 →

Teresa AlfonsoM.D.

Internal Medicine · Miami, FL 33155

NPI: 1326072448

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18

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

23,624

Total Claims

$2.4M

Drug Cost

936

Beneficiaries

$2,617

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-85%

Opioid rate vs peers

0.3% vs 2.2% avg

+85%

Cost per patient vs peers

$2,617 vs $1,411 avg

+51%

Brand preference vs peers

16.1% 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

0.3%

Opioid Rate

81

Opioid Claims

$577

Opioid Cost

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 3,669 claims · $2.0M

Generic: 19,141 claims · $446K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban450$290K
Empagliflozin178$142K
Sitagliptin Phosphate162$133K
Semaglutide120$131K
Mirabegron184$94K
Rivaroxaban141$90K
Tirzepatide56$69K
Linaclotide100$63K
Evolocumab97$61K
Dulaglutide61$59K
Sacubitril/Valsartan66$55K
Dapagliflozin Propanediol62$52K
Bictegrav/Emtricit/Tenofov Ala12$49K
Pitavastatin Calcium78$39K
Fluticasone/Vilanterol78$37K

Prescribing Profile

213

Unique Drugs

$767K

IRA Negotiated Drugs

$259K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

75

Avg Age

62%

Female

2.02

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