⚠️

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 →

Patricia SalvatoM.D.

Internal Medicine · Houston, TX 77057

NPI: 1043218845

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38

🟠 Elevated

Risk Flags

High opioid rate vs specialty peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

41,808

Total Claims

$6.2M

Drug Cost

1,324

Beneficiaries

$4,697

Cost/Patient

Risk Score Breakdown 38/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+504%

Opioid rate vs peers

13.5% vs 2.2% avg

+233%

Cost per patient vs peers

$4,697 vs $1,411 avg

+14%

Brand preference vs peers

12.1% 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

⚠️

Opioid prescribing rate is 504% 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

13.5%

Opioid Rate

5,648

Opioid Claims

$270K

Opioid Cost

12.2%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 5,044 claims · $5.0M

Generic: 36,473 claims · $1.2M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Bictegrav/Emtricit/Tenofov Ala198$803K
Darunavir/Cob/Emtri/Tenof Alaf162$799K
Emtricitab/Rilpiviri/Tenof Ala100$395K
Semaglutide316$390K
Tirzepatide158$192K
Raltegravir Potassium70$138K
Emtricita/Rilpivirine/Tenof Df35$132K
Elviteg/Cob/Emtri/Tenof Alafen30$124K
Linaclotide156$117K
Emtricitabine/Tenofov Alafenam50$116K
Hydrocodone/Acetaminophen2,897$115K
Abacavir/Dolutegravir/Lamivudi27$103K
Mirabegron154$94K
Insulin Glargine,hum.Rec.Anlog100$73K
Budesonide/Formoterol Fumarate144$69K

Prescribing Profile

303

Unique Drugs

$213K

IRA Negotiated Drugs

$664K

GLP-1 Drugs

38.0

Anomaly Score

Patient Profile

66

Avg Age

74%

Female

1.55

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