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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 →

Jose Montes-MercadoM.D.

Cardiology · Manati, PR 674

NPI: 1023033214

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3

🟢 Low

Risk Flags

High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

15,744

Total Claims

$998K

Drug Cost

736

Beneficiaries

$1,356

Cost/Patient

Risk Score Breakdown 3/100

Low (0)Moderate (15)Elevated (30)High (50+)
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 18,720 Cardiology providers

-11%

Cost per patient vs peers

$1,356 vs $1,524 avg

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 13,768 claims · $181K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban299$187K
Evolocumab223$134K
Dapagliflozin Propanediol120$87K
Empagliflozin94$72K
Rivaroxaban96$63K
Sacubitril/Valsartan35$30K
Levothyroxine Sodium510$30K
Sitagliptin Phos/Metformin Hcl38$24K
Sitagliptin Phosphate41$24K
Ticagrelor46$22K
Dronedarone Hcl23$18K
Evolocumab25$18K
Candesartan Cilexetil175$14K
Valsartan452$13K
Valsartan22$13K

Prescribing Profile

84

Unique Drugs

$464K

IRA Negotiated Drugs

3.0

Anomaly Score

Patient Profile

75

Avg Age

60%

Female

2.26

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