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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 →

Shirley Ramos

Family Practice · Lares, PR 669

NPI: 1013204981

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

15,688

Total Claims

$739K

Drug Cost

511

Beneficiaries

$1,446

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-81%

Opioid rate vs peers

0.5% vs 2.6% avg

+35%

Cost per patient vs peers

$1,446 vs $1,068 avg

+24%

Brand preference vs peers

11.1% vs 9.0% 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

0.5%

Opioid Rate

77

Opioid Claims

$499

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,728 claims · $540K

Generic: 13,778 claims · $194K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog131$60K
Apixaban55$43K
Rivaroxaban34$38K
Empagliflozin/Linagliptin26$29K
Levothyroxine Sodium319$27K
Insulin Nph Hum/Reg Insulin Hm70$22K
Dapagliflozin Propanediol23$22K
Sitagliptin Phos/Metformin Hcl21$22K
Linagliptin/Metformin Hcl20$19K
Insulin Nph Human Isophane46$19K
Fluticasone/Vilanterol40$16K
Budesonide/Formoterol Fumarate31$12K
Empaglifloz/Linaglip/Metformin12$11K
Insulin Lispro16$9,667
Tiotropium Br/Olodaterol Hcl18$8,653

Prescribing Profile

179

Unique Drugs

$103K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

73

Avg Age

62%

Female

1.90

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