⚠️

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 →

Alberto Aguayo RicoM.D,

Internal Medicine · Albuquerque, NM 87108

NPI: 1003181470

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14

🟢 Low

🤖 ML Fraud Detection Score: 89%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

Elevated long-acting opioid rateOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

8,859

Total Claims

$805K

Drug Cost

691

Beneficiaries

$1,165

Cost/Patient

Risk Score Breakdown 14/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+32%

Opioid rate vs peers

3.0% vs 2.2% avg

-17%

Cost per patient vs peers

$1,165 vs $1,411 avg

+29%

Brand preference vs peers

13.7% 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

🤖

ML fraud detection score of 89% indicates prescribing patterns with significant similarity to confirmed fraud cases. 18 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

3.0%

Opioid Rate

262

Opioid Claims

$5,019

Opioid Cost

14.9%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,204 claims · $592K

Generic: 7,591 claims · $210K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide44$84K
Rivaroxaban83$80K
Apixaban55$40K
Tiotropium Bromide50$33K
Dapagliflozin Propanediol27$32K
Budesonide/Formoterol Fumarate60$27K
Exenatide Microspheres29$27K
Empagliflozin16$27K
Semaglutide19$22K
Insulin Glargine,hum.Rec.Anlog23$15K
Fluticasone/Vilanterol23$14K
Insulin Glargine,hum.Rec.Anlog35$14K
Fluticasone/Umeclidin/Vilanter19$12K
Mirabegron25$11K
Levothyroxine Sodium478$8,462

Prescribing Profile

140

Unique Drugs

$179K

IRA Negotiated Drugs

$106K

GLP-1 Drugs

14.0

Anomaly Score

Patient Profile

73

Avg Age

52%

Female

1.23

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