⚠️

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 →

Ernest TerranovaM.D.

Internal Medicine · South Salem, NY 10590

NPI: 1093746448

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31

🟠 Elevated

Risk Flags

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

9,872

Total Claims

$782K

Drug Cost

221

Beneficiaries

$3,540

Cost/Patient

Risk Score Breakdown 31/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-33%

Opioid rate vs peers

1.5% vs 2.2% avg

+151%

Cost per patient vs peers

$3,540 vs $1,411 avg

+69%

Brand preference vs peers

18.0% 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

1.5%

Opioid Rate

148

Opioid Claims

$4,499

Opioid Cost

18.2%

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 1,763 claims · $553K

Generic: 8,035 claims · $225K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rivaroxaban376$104K
Apixaban279$79K
Pimavanserin Tartrate22$50K
Empagliflozin72$21K
Sitagliptin Phosphate74$20K
Sacubitril/Valsartan54$18K
Epoetin Alfa29$17K
Insulin Aspart68$16K
Collagenase Clostridium Hist.26$15K
Vortioxetine Hydrobromide51$12K
Linaclotide22$12K
Insulin Detemir40$11K
Mesalamine15$10K
Olanzapine18$9,670
Potassium Chloride216$9,667

Prescribing Profile

150

Unique Drugs

$263K

IRA Negotiated Drugs

31.0

Anomaly Score

Patient Profile

84

Avg Age

73%

Female

2.18

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