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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 →

Leopoldo SantiagoMD

General Practice · Maunabo, PR 707

NPI: 1003831611

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18

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

9,869

Total Claims

$570K

Drug Cost

462

Beneficiaries

$1,233

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 7,389 General Practice providers

-25%

Opioid rate vs peers

1.9% vs 2.5% avg

+9%

Cost per patient vs peers

$1,233 vs $1,128 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

1.9%

Opioid Rate

184

Opioid Claims

$2,429

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 819 claims · $426K

Generic: 8,959 claims · $140K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rivaroxaban42$52K
Apixaban33$43K
Sitagliptin Phos/Metformin Hcl35$39K
Sitagliptin Phosphate25$34K
Insulin Glargine,hum.Rec.Anlog50$32K
Dulaglutide24$26K
Insulin Nph Human Isophane35$15K
Insulin Glargine,hum.Rec.Anlog14$9,917
Insulin Lispro18$9,804
Levothyroxine Sodium371$9,238
Levothyroxine Sodium70$7,167
Losartan Potassium328$6,797
Albuterol Sulfate110$6,469
Budesonide/Formoterol Fumarate11$5,863
Atorvastatin Calcium451$5,825

Prescribing Profile

123

Unique Drugs

$128K

IRA Negotiated Drugs

$26K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

71

Avg Age

48%

Female

1.79

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