⚠️

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 →

Max MercadoM.D.

Internal Medicine · Philadelphia, PA 19111

NPI: 1336151182

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28

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

30,073

Total Claims

$5.5M

Drug Cost

1,037

Beneficiaries

$5,344

Cost/Patient

Risk Score Breakdown 28/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+50%

Opioid rate vs peers

3.4% vs 2.2% avg

+279%

Cost per patient vs peers

$5,344 vs $1,411 avg

+100%

Brand preference vs peers

21.2% 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

3.4%

Opioid Rate

1,011

Opioid Claims

$10K

Opioid Cost

1.2%

Long-Acting Rate

Brand vs Generic

79% generic

Brand: 6,254 claims · $4.9M

Generic: 23,183 claims · $576K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide515$573K
Dulaglutide383$488K
Linaclotide343$226K
Apixaban272$206K
Dapaglifloz Propaned/Metformin156$167K
Empagliflozin130$164K
Semaglutide93$157K
Insulin Degludec153$156K
Cariprazine Hcl83$126K
Tirzepatide93$118K
Adalimumab15$112K
Fluticasone/Umeclidin/Vilanter152$112K
Dapagliflozin Propanediol123$109K
Sacubitril/Valsartan94$102K
Denosumab55$94K

Prescribing Profile

250

Unique Drugs

$729K

IRA Negotiated Drugs

$1.4M

GLP-1 Drugs

28.0

Anomaly Score

Patient Profile

73

Avg Age

62%

Female

1.48

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