⚠️

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 →

Marcela DobrenMD

Hospitalist · Jacksonville, FL 32207

NPI: 1104197979

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26

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

11,787

Total Claims

$562K

Drug Cost

365

Beneficiaries

$1,540

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 16,767 Hospitalist providers

+27%

Opioid rate vs peers

3.8% vs 3.0% avg

+260%

Cost per patient vs peers

$1,540 vs $427 avg

+153%

Brand preference vs peers

13.3% vs 5.2% 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

3.8%

Opioid Rate

448

Opioid Claims

$9,816

Opioid Cost

8.5%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,563 claims · $351K

Generic: 10,209 claims · $210K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban462$131K
Mirabegron116$33K
Sacubitril/Valsartan54$15K
Pantoprazole Sodium272$12K
Dulaglutide13$12K
Sitagliptin Phosphate38$11K
Ipratropium/Albuterol Sulfate20$10K
Lidocaine88$9,542
Empagliflozin26$9,250
Potassium Chloride408$7,664
Dapagliflozin Propanediol26$7,396
Vibegron22$7,308
Insulin Lispro48$6,966
Rivaroxaban19$6,810
Budesonide18$6,550

Prescribing Profile

169

Unique Drugs

$191K

IRA Negotiated Drugs

$12K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

84

Avg Age

69%

Female

2.10

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