⚠️

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 →

Jose Curet Ramos

Internal Medicine · Gurabo, PR 00778

NPI: 1013048305

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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

39,443

Total Claims

$3.3M

Drug Cost

865

Beneficiaries

$3,872

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. 110,156 Internal Medicine providers

-96%

Opioid rate vs peers

0.1% vs 2.2% avg

+174%

Cost per patient vs peers

$3,872 vs $1,411 avg

+67%

Brand preference vs peers

17.8% 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

⚠️

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

0.1%

Opioid Rate

35

Opioid Claims

$118

Opioid Cost

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 6,942 claims · $2.9M

Generic: 32,131 claims · $477K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol765$470K
Empagliflozin545$378K
Linagliptin334$205K
Sitagliptin Phos/Metformin Hcl387$186K
Empagliflozin/Linagliptin260$174K
Apixaban196$129K
Rivaroxaban165$108K
Insulin Glargine,hum.Rec.Anlog288$108K
Empaglifloz/Linaglip/Metformin136$90K
Dulaglutide92$89K
Insulin Glargine,hum.Rec.Anlog173$83K
Levothyroxine Sodium1,326$72K
Sitagliptin Phosphate108$62K
Insulin Nph Hum/Reg Insulin Hm156$61K
Empagliflozin/Metformin Hcl83$50K

Prescribing Profile

218

Unique Drugs

$1.2M

IRA Negotiated Drugs

$159K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

73

Avg Age

55%

Female

2.08

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