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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 →

Domingo BarrientosM.D.

Internal Medicine · Downey, CA 90241

NPI: 1184685281

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44

🟠 Elevated

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128a1 · Date: 20251120 · State: CA

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberOIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

30,646

Total Claims

$3.0M

Drug Cost

1,993

Beneficiaries

$1,487

Cost/Patient

Risk Score Breakdown 44/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-78%

Opioid rate vs peers

0.5% vs 2.2% avg

+5%

Cost per patient vs peers

$1,487 vs $1,411 avg

+46%

Brand preference vs peers

15.5% 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.

Opioid Prescribing

0.5%

Opioid Rate

149

Opioid Claims

$2,962

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 4,689 claims · $2.2M

Generic: 25,595 claims · $722K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban449$251K
Sitagliptin Phosphate269$162K
Empagliflozin166$114K
Rivaroxaban163$96K
Dulaglutide96$95K
Semaglutide82$85K
Dapagliflozin Propanediol129$82K
Linagliptin122$67K
Mirabegron112$60K
Linaclotide100$54K
Insulin Glargine,hum.Rec.Anlog106$54K
Lipase/Protease/Amylase62$53K
Vibegron82$50K
Omeprazole/Sodium Bicarbonate42$47K
Icosapent Ethyl172$47K

Prescribing Profile

259

Unique Drugs

$782K

IRA Negotiated Drugs

$204K

GLP-1 Drugs

44.0

Anomaly Score

Patient Profile

80

Avg Age

58%

Female

2.09

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