⚠️

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 →

Jose AgustiM.D.

Internal Medicine · Winfield, IN 46307

NPI: 1033192604

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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

10,153

Total Claims

$912K

Drug Cost

751

Beneficiaries

$1,215

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

+225%

Opioid rate vs peers

7.3% vs 2.2% avg

-14%

Cost per patient vs peers

$1,215 vs $1,411 avg

+10%

Brand preference vs peers

11.7% 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.

Opioid Prescribing

7.3%

Opioid Rate

738

Opioid Claims

$10K

Opioid Cost

6.8%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,174 claims · $676K

Generic: 8,844 claims · $230K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban142$139K
Rivaroxaban41$52K
Sacubitril/Valsartan26$32K
Sitagliptin Phosphate25$32K
Semaglutide21$31K
Insulin Aspart27$26K
Linagliptin23$25K
Linaclotide24$24K
Insulin Detemir36$23K
Insulin Lispro30$19K
Insulin Glargine,hum.Rec.Anlog31$17K
Fluticasone/Vilanterol31$15K
Budesonide/Formoterol Fumarate27$14K
Fluticasone/Umeclidin/Vilanter13$13K
Insulin Detemir15$11K

Prescribing Profile

143

Unique Drugs

$280K

IRA Negotiated Drugs

$31K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

76

Avg Age

63%

Female

2.97

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