⚠️

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 →

Michael JardulaMD

Internal Medicine · Palm Springs, CA 92262

NPI: 1346222510

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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

21,062

Total Claims

$5.3M

Drug Cost

1,390

Beneficiaries

$3,807

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. 110,156 Internal Medicine providers

+58%

Opioid rate vs peers

3.5% vs 2.2% avg

+170%

Cost per patient vs peers

$3,807 vs $1,411 avg

+24%

Brand preference vs peers

13.2% 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

3.5%

Opioid Rate

746

Opioid Claims

$21K

Opioid Cost

5.0%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,759 claims · $4.6M

Generic: 18,187 claims · $637K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Bictegrav/Emtricit/Tenofov Ala182$833K
Emtricitab/Rilpiviri/Tenof Ala119$483K
Cabotegravir/Rilpivirine38$247K
Emtricitabine/Tenofov Alafenam78$211K
Abacavir/Dolutegravir/Lamivudi51$204K
Dolutegravir/Rilpivirine51$198K
Dulaglutide130$192K
Apixaban126$163K
Empagliflozin120$161K
Semaglutide104$138K
Darunavir/Cobicistat51$126K
Elviteg/Cob/Emtri/Tenof Alafen22$88K
Dolutegravir Sodium/Lamivudine26$81K
Rivaroxaban66$72K
Dapagliflozin Propanediol60$70K

Prescribing Profile

226

Unique Drugs

$501K

IRA Negotiated Drugs

$375K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

76

Avg Age

33%

Female

2.06

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