⚠️

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 →

Noel GarciaM.D.

Internal Medicine · Houston, MS 38851

NPI: 1053322842

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26

🟡 Moderate

🤖 ML Fraud Detection Score: 98%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

18,519

Total Claims

$2.3M

Drug Cost

552

Beneficiaries

$4,254

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
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

+157%

Opioid rate vs peers

5.8% vs 2.2% avg

+201%

Cost per patient vs peers

$4,254 vs $1,411 avg

+26%

Brand preference vs peers

13.4% 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

🤖

Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

⚠️

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

5.8%

Opioid Rate

1,067

Opioid Claims

$32K

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,465 claims · $1.9M

Generic: 15,971 claims · $424K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide278$345K
Dulaglutide221$271K
Tirzepatide152$202K
Apixaban173$124K
Empagliflozin89$78K
Linaclotide86$71K
Semaglutide46$58K
Insulin Aspart61$57K
Liraglutide38$45K
Lurasidone Hcl28$40K
Lipase/Protease/Amylase21$36K
Insulin Lispro28$33K
Insulin Detemir26$31K
Rivaroxaban29$28K
Insulin Detemir33$25K

Prescribing Profile

187

Unique Drugs

$361K

IRA Negotiated Drugs

$933K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

70

Avg Age

60%

Female

1.56

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