⚠️

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 →

Luis VegaM. D.

Family Practice · Hampton, SC 29924

NPI: 1033119854

Share:

15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

10,559

Total Claims

$1.6M

Drug Cost

643

Beneficiaries

$2,521

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+13%

Opioid rate vs peers

2.9% vs 2.6% avg

+136%

Cost per patient vs peers

$2,521 vs $1,068 avg

+51%

Brand preference vs peers

13.6% vs 9.0% 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

2.9%

Opioid Rate

307

Opioid Claims

$3,724

Opioid Cost

4.2%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,409 claims · $1.4M

Generic: 8,970 claims · $211K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate87$122K
Semaglutide72$116K
Apixaban77$87K
Empagliflozin66$78K
Insulin Detemir69$77K
Dulaglutide44$75K
Dapagliflozin Propanediol54$68K
Liraglutide29$59K
Insulin Glargine,hum.Rec.Anlog69$55K
Semaglutide30$35K
Tirzepatide23$32K
Mirabegron31$29K
Rivaroxaban20$28K
Sacubitril/Valsartan18$28K
Linaclotide23$27K

Prescribing Profile

147

Unique Drugs

$410K

IRA Negotiated Drugs

$317K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

72

Avg Age

59%

Female

1.51

Avg Risk Score

Explore More

Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About