⚠️

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 →

Casilda BalmacedaM.D.

Neurology · New York, NY 10032

NPI: 1093751919

Share:

21

🟡 Moderate

🤖 ML Fraud Detection Score: 85%

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-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

35,958

Total Claims

$5.8M

Drug Cost

2,197

Beneficiaries

$2,653

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. 13,194 Neurology providers

+39%

Opioid rate vs peers

1.8% vs 1.3% avg

-34%

Cost per patient vs peers

$2,653 vs $4,034 avg

-6%

Brand preference vs peers

8.8% vs 9.4% 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

🤖

ML fraud detection score of 85% indicates prescribing patterns with significant similarity to confirmed fraud cases. 17 out of 20 decision trees flagged this provider.

⚠️

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

1.8%

Opioid Rate

653

Opioid Claims

$18K

Opioid Cost

7.2%

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 3,174 claims · $4.2M

Generic: 32,747 claims · $1.6M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Diclofenac Sodium4,196$1.3M
Rimegepant Sulfate488$784K
Ubrogepant223$303K
Interferon Beta-1a/Albumin22$239K
Immun Glob G(Igg)/Gly/Iga Ov5011$183K
Lidocaine782$173K
Erenumab-Aooe172$152K
Linaclotide256$149K
Memantine Hcl864$122K
Doxepin Hcl319$109K
Diclofenac Sodium27$106K
Cariprazine Hcl57$98K
Brexpiprazole56$88K
Dextromethorphan Hbr/Quinidine48$77K
Naloxegol Oxalate173$76K

Prescribing Profile

134

Unique Drugs

21.0

Anomaly Score

Patient Profile

72

Avg Age

73%

Female

1.42

Avg Risk Score

Explore More

Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About