⚠️

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 →

Lourdes AponteMD

Internal Medicine · Lewes, DE 19958

NPI: 1144299959

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21

🟡 Moderate

Risk Flags

High opioid rate vs specialty peersOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

12,054

Total Claims

$2.3M

Drug Cost

1,127

Beneficiaries

$2,066

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+506%

Opioid rate vs peers

13.6% vs 2.2% avg

+46%

Cost per patient vs peers

$2,066 vs $1,411 avg

-29%

Brand preference vs peers

7.6% 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

⚠️

Opioid prescribing rate is 506% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

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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

13.6%

Opioid Rate

1,636

Opioid Claims

$42K

Opioid Cost

4.9%

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 911 claims · $2.0M

Generic: 11,104 claims · $309K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Adalimumab43$486K
Etanercept11$198K
Tofacitinib Citrate33$193K
Adalimumab23$164K
Adalimumab13$93K
Ixekizumab13$92K
Certolizumab Pegol14$78K
Tofacitinib Citrate12$73K
Dapagliflozin Propanediol38$46K
Evolocumab32$39K
Semaglutide21$35K
Hydroxychloroquine Sulfate397$33K
Empagliflozin28$31K
Mirabegron40$31K
Milnacipran Hcl26$19K

Prescribing Profile

131

Unique Drugs

$292K

IRA Negotiated Drugs

$35K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

75

Avg Age

73%

Female

1.22

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