⚠️

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 →

Elmer ApagaM.D.

Internal Medicine · Turtle Creek, PA 15145

NPI: 1003056524

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

8,739

Total Claims

$636K

Drug Cost

728

Beneficiaries

$874

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+128%

Opioid rate vs peers

5.1% vs 2.2% avg

-38%

Cost per patient vs peers

$874 vs $1,411 avg

+27%

Brand preference vs peers

13.5% 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

5.1%

Opioid Rate

446

Opioid Claims

$7,005

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,173 claims · $501K

Generic: 7,506 claims · $132K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban179$112K
Semaglutide52$62K
Fluticasone/Umeclidin/Vilanter87$59K
Rivaroxaban58$32K
Fluticasone/Vilanterol70$28K
Sacubitril/Valsartan32$23K
Dulaglutide15$21K
Sitagliptin Phosphate24$16K
Insulin Glargine,hum.Rec.Anlog55$15K
Ipratropium/Albuterol Sulfate23$12K
Linagliptin19$10K
Empagliflozin11$9,246
Insulin Aspart14$8,944
Fluticasone Propionate18$7,484
Atorvastatin Calcium446$7,040

Prescribing Profile

128

Unique Drugs

$201K

IRA Negotiated Drugs

$82K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

71

Avg Age

56%

Female

2.04

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