⚠️

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 →

Carlos LugoMD

General Practice · Kissimmee, FL 34743

NPI: 1013951797

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18

🟡 Moderate

🤖 ML Fraud Detection Score: 86%

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

Learn more →

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

9,788

Total Claims

$682K

Drug Cost

449

Beneficiaries

$1,520

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

-39%

Opioid rate vs peers

1.5% vs 2.5% avg

+35%

Cost per patient vs peers

$1,520 vs $1,128 avg

+9%

Brand preference vs peers

9.2% vs 8.4% 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 86% indicates prescribing patterns with significant similarity to confirmed fraud cases. 17 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

1.5%

Opioid Rate

148

Opioid Claims

$784

Opioid Cost

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 891 claims · $553K

Generic: 8,793 claims · $121K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide74$105K
Empagliflozin63$60K
Apixaban54$50K
Insulin Glargine,hum.Rec.Anlog64$44K
Sitagliptin Phosphate19$25K
Dapagliflozin Propanediol26$23K
Insulin Glargine,hum.Rec.Anlog31$22K
Tirzepatide13$21K
Insulin Nph Hum/Reg Insulin Hm41$17K
Fluticasone/Umeclidin/Vilanter12$14K
Linaclotide17$9,365
Atorvastatin Calcium423$5,920
Fluticasone Propion/Salmeterol20$5,632
Losartan Potassium320$4,982
Levothyroxine Sodium250$4,655

Prescribing Profile

117

Unique Drugs

$159K

IRA Negotiated Drugs

$126K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

69

Avg Age

56%

Female

1.82

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