⚠️

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 →

Ronald KillamMD

Internal Medicine · Houston, TX 77029

NPI: 1013960228

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41

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

8,875

Total Claims

$1.3M

Drug Cost

697

Beneficiaries

$1,872

Cost/Patient

Risk Score Breakdown 41/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+715%

Opioid rate vs peers

18.3% vs 2.2% avg

+33%

Cost per patient vs peers

$1,872 vs $1,411 avg

+8%

Brand preference vs peers

11.5% vs 10.6% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

⚠️ 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

⚠️

Opioid prescribing rate is 715% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

⚠️

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

18.3%

Opioid Rate

1,620

Opioid Claims

$42K

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,014 claims · $1.1M

Generic: 7,809 claims · $215K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Bictegrav/Emtricit/Tenofov Ala24$97K
Valbenazine Tosylate11$94K
Semaglutide49$56K
Fluticasone/Umeclidin/Vilanter43$49K
Apixaban48$49K
Empagliflozin35$45K
Sitagliptin Phosphate37$42K
Hydrocodone/Acetaminophen1,458$39K
Linaclotide44$34K
Rivaroxaban26$30K
Linagliptin17$27K
Umeclidinium Brm/Vilanterol Tr37$22K
Liraglutide18$21K
Dulaglutide16$19K
Tirzepatide11$15K

Prescribing Profile

132

Unique Drugs

$178K

IRA Negotiated Drugs

$112K

GLP-1 Drugs

41.0

Anomaly Score

Patient Profile

69

Avg Age

56%

Female

1.96

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