⚠️

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 →

Kimberly BarbollaDO

Internal Medicine · Marshall, TX 75670

NPI: 1437132081

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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

21,268

Total Claims

$1.8M

Drug Cost

812

Beneficiaries

$2,191

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

+120%

Opioid rate vs peers

4.9% vs 2.2% avg

+55%

Cost per patient vs peers

$2,191 vs $1,411 avg

+25%

Brand preference vs peers

13.3% 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

4.9%

Opioid Rate

1,045

Opioid Claims

$33K

Opioid Cost

14.3%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,804 claims · $1.4M

Generic: 18,304 claims · $374K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin267$140K
Apixaban228$121K
Semaglutide87$97K
Fluticasone/Umeclidin/Vilanter76$75K
Rivaroxaban110$71K
Dapagliflozin Propanediol81$61K
Tirzepatide39$47K
Mirabegron143$46K
Rifaximin24$37K
Semaglutide26$36K
Sitagliptin Phosphate70$35K
Denosumab17$28K
Linaclotide34$28K
Finerenone38$28K
Liraglutide23$27K

Prescribing Profile

232

Unique Drugs

$437K

IRA Negotiated Drugs

$224K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

74

Avg Age

67%

Female

1.78

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