⚠️

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 →

Abelardo CruzMD

Internal Medicine · Omaha, NE 68114

NPI: 1053361915

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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

9,089

Total Claims

$700K

Drug Cost

497

Beneficiaries

$1,408

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

+29%

Opioid rate vs peers

2.9% vs 2.2% avg

0%

Cost per patient vs peers

$1,408 vs $1,411 avg

+13%

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

⚠️

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

263

Opioid Claims

$7,680

Opioid Cost

8.0%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,082 claims · $521K

Generic: 7,888 claims · $172K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban202$163K
Linagliptin37$35K
Mirabegron52$30K
Alirocumab46$26K
Dulaglutide16$20K
Insulin Glargine,hum.Rec.Anlog42$19K
Rivaroxaban19$14K
Insulin Lispro20$14K
Insulin Degludec12$12K
Tirzepatide11$12K
Budesonide/Formoterol Fumarate17$12K
Fluticasone/Umeclidin/Vilanter14$11K
Memantine Hcl139$10K
Lipase/Protease/Amylase11$7,983
Atorvastatin Calcium629$7,345

Prescribing Profile

136

Unique Drugs

$178K

IRA Negotiated Drugs

$32K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

79

Avg Age

68%

Female

1.52

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