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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 →

Rene VelaMD

Family Practice · Alamo, TX 78516

NPI: 1346353414

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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

25,622

Total Claims

$3.2M

Drug Cost

1,136

Beneficiaries

$2,777

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. 106,889 Family Practice providers

-45%

Opioid rate vs peers

1.4% vs 2.6% avg

+160%

Cost per patient vs peers

$2,777 vs $1,068 avg

+23%

Brand preference vs peers

11.0% 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

1.4%

Opioid Rate

366

Opioid Claims

$2,871

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,794 claims · $2.7M

Generic: 22,518 claims · $448K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate222$319K
Empagliflozin195$290K
Dulaglutide113$239K
Dapagliflozin Propanediol162$227K
Semaglutide130$218K
Mirabegron96$99K
Fluticasone/Umeclidin/Vilanter118$99K
Semaglutide39$96K
Apixaban63$95K
Insulin Detemir109$94K
Tirzepatide61$86K
Insulin Glargine,hum.Rec.Anlog96$80K
Linaclotide111$70K
Sitagliptin Phos/Metformin Hcl47$67K
Sacubitril/Valsartan36$44K

Prescribing Profile

171

Unique Drugs

$1.0M

IRA Negotiated Drugs

$641K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

72

Avg Age

53%

Female

1.73

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