⚠️

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 →

Miguel FanaM.D.

Internal Medicine · St Petersburg, FL 33710

NPI: 1417926833

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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

18,491

Total Claims

$1.1M

Drug Cost

845

Beneficiaries

$1,327

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. 110,156 Internal Medicine providers

+39%

Opioid rate vs peers

3.1% vs 2.2% avg

-6%

Cost per patient vs peers

$1,327 vs $1,411 avg

-5%

Brand preference vs peers

10.1% 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

3.1%

Opioid Rate

577

Opioid Claims

$8,949

Opioid Cost

2.3%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,852 claims · $783K

Generic: 16,527 claims · $333K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Fluticasone/Umeclidin/Vilanter150$145K
Apixaban149$123K
Dulaglutide57$70K
Umeclidinium Brm/Vilanterol Tr62$51K
Budesonide/Glycopyr/Formoterol54$49K
Fluticasone/Vilanterol54$31K
Fluticasone Propion/Salmeterol100$31K
Empagliflozin23$25K
Semaglutide22$24K
Budesonide/Formoterol Fumarate58$21K
Albuterol Sulfate329$18K
Tiotropium Bromide21$17K
Insulin Glargine,hum.Rec.Anlog27$15K
Celecoxib218$14K
Insulin Nph Hum/Reg Insulin Hm51$14K

Prescribing Profile

184

Unique Drugs

$182K

IRA Negotiated Drugs

$94K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

74

Avg Age

51%

Female

2.19

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