⚠️

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 →

Tricia AgustinMD

Family Practice · Henderson, NV 89074

NPI: 1063691673

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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

10,857

Total Claims

$899K

Drug Cost

896

Beneficiaries

$1,003

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. 106,889 Family Practice providers

-37%

Opioid rate vs peers

1.6% vs 2.6% avg

-6%

Cost per patient vs peers

$1,003 vs $1,068 avg

+17%

Brand preference vs peers

10.5% 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

1.6%

Opioid Rate

175

Opioid Claims

$2,607

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,126 claims · $725K

Generic: 9,603 claims · $169K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban109$116K
Semaglutide101$101K
Dulaglutide34$53K
Empagliflozin46$43K
Rivaroxaban40$40K
Fluticasone/Umeclidin/Vilanter53$40K
Denosumab22$37K
Sitagliptin Phosphate17$28K
Budesonide/Formoterol Fumarate47$26K
Insulin Glargine,hum.Rec.Anlog32$20K
Dapagliflozin Propanediol13$20K
Linagliptin19$19K
Liraglutide16$19K
Fluticasone/Vilanterol25$11K
Atorvastatin Calcium781$8,826

Prescribing Profile

134

Unique Drugs

$255K

IRA Negotiated Drugs

$173K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

74

Avg Age

69%

Female

1.18

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