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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 →

Tricia PunsalanM.D.

Family Practice · Conroe, TX 77301

NPI: 1003020504

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5

🟢 Low

Risk Flags

Elevated antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

3,069

Total Claims

$146K

Drug Cost

219

Beneficiaries

$666

Cost/Patient

Risk Score Breakdown 5/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-5%

Opioid rate vs peers

2.4% vs 2.6% avg

-38%

Cost per patient vs peers

$666 vs $1,068 avg

Opioid Prescribing

2.4%

Opioid Rate

75

Opioid Claims

$1,722

Opioid Cost

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 2,689 claims · $51K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban94$27K
Rivaroxaban30$7,845
Sacubitril/Valsartan20$7,714
Insulin Glargine,hum.Rec.Anlog18$5,691
Insulin Lispro11$3,259
Vancomycin Hcl16$2,795
Brinzolamide/Brimonidine Tart13$2,789
Megestrol Acetate12$2,182
Duloxetine Hcl61$2,133
Atorvastatin Calcium173$1,542
Divalproex Sodium31$1,520
Gabapentin126$1,444
Hydrocodone/Acetaminophen50$1,336
Tamsulosin Hcl92$1,142
Potassium Chloride78$1,087

Prescribing Profile

68

Unique Drugs

$42K

IRA Negotiated Drugs

5.0

Anomaly Score

Patient Profile

79

Avg Age

49%

Female

2.90

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.Methodology · About