⚠️

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 →

Michelle De SantoD.O.

Osteopathic Manipulative Medicine · Alhambra, CA 91801

NPI: 1104194299

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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

8,888

Total Claims

$715K

Drug Cost

959

Beneficiaries

$746

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. 516 Osteopathic Manipulative Medicine providers

-25%

Opioid rate vs peers

5.6% vs 7.5% avg

-32%

Cost per patient vs peers

$746 vs $1,104 avg

+55%

Brand preference vs peers

11.5% vs 7.4% 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

⚠️

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

5.6%

Opioid Rate

496

Opioid Claims

$15K

Opioid Cost

4.8%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,017 claims · $532K

Generic: 7,799 claims · $182K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin94$56K
Tiotropium Bromide50$29K
Dabigatran Etexilate Mesylate105$23K
Ciclesonide124$18K
Rivaroxaban29$14K
Levothyroxine Sodium494$10K
Semaglutide12$8,825
Atorvastatin Calcium557$7,916
Insulin Nph Human Isophane59$7,473
Oxycodone Hcl12$6,113
Budesonide/Formoterol Fumarate20$5,975
Fluticasone Propion/Salmeterol28$5,687
Gabapentin148$5,609
Acetylcysteine16$4,855
Hydrocodone/Acetaminophen246$4,599

Prescribing Profile

127

Unique Drugs

$70K

IRA Negotiated Drugs

$8,825

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

75

Avg Age

68%

Female

1.28

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