⚠️

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 →

Nghia TruongMD

Internal Medicine · Tyler, TX 75701

NPI: 1407876626

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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

29,335

Total Claims

$2.2M

Drug Cost

1,460

Beneficiaries

$1,536

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

-44%

Opioid rate vs peers

1.3% vs 2.2% avg

+9%

Cost per patient vs peers

$1,536 vs $1,411 avg

+1%

Brand preference vs peers

10.7% 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

1.3%

Opioid Rate

369

Opioid Claims

$4,544

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 3,122 claims · $1.7M

Generic: 26,029 claims · $499K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban192$193K
Dulaglutide150$186K
Semaglutide122$137K
Rivaroxaban118$103K
Tirzepatide75$89K
Semaglutide48$88K
Empagliflozin81$86K
Sitagliptin Phosphate60$73K
Mirabegron71$50K
Insulin Glargine,hum.Rec.Anlog74$46K
Linagliptin61$45K
Sitagliptin Phos/Metformin Hcl47$44K
Lipase/Protease/Amylase20$35K
Insulin Glargine,hum.Rec.Anlog71$35K
Fluticasone/Umeclidin/Vilanter39$33K

Prescribing Profile

209

Unique Drugs

$520K

IRA Negotiated Drugs

$500K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

74

Avg Age

50%

Female

1.20

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