⚠️

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 →

Jorge AlfonsoMD

Internal Medicine · South Yarmouth, MA 2664

NPI: 1013983402

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20

🟡 Moderate

Risk Flags

Elevated long-acting opioid rateElevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

13,430

Total Claims

$1.1M

Drug Cost

1,083

Beneficiaries

$995

Cost/Patient

Risk Score Breakdown 20/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+68%

Opioid rate vs peers

3.8% vs 2.2% avg

-29%

Cost per patient vs peers

$995 vs $1,411 avg

-1%

Brand preference vs peers

10.6% 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

3.8%

Opioid Rate

506

Opioid Claims

$26K

Opioid Cost

20.0%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,415 claims · $778K

Generic: 11,965 claims · $299K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban191$193K
Rivaroxaban105$132K
Sitagliptin Phosphate34$54K
Empagliflozin19$34K
Dulaglutide17$23K
Rotigotine15$20K
Rosuvastatin Calcium275$18K
Atorvastatin Calcium721$17K
Oxycodone Hcl39$16K
Mirabegron17$15K
Fluticasone Propionate39$15K
Budesonide/Formoterol Fumarate22$15K
Umeclidinium Brm/Vilanterol Tr16$14K
Metoprolol Succinate433$12K
Ipratropium/Albuterol Sulfate22$11K

Prescribing Profile

154

Unique Drugs

$412K

IRA Negotiated Drugs

$23K

GLP-1 Drugs

20.0

Anomaly Score

Patient Profile

76

Avg Age

54%

Female

1.22

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