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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 →

Polly Ruiz SantiagoMD

General Practice · Barceloneta, PR 617

NPI: 1023057577

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26

🟡 Moderate

🤖 ML Fraud Detection Score: 100%

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

Learn more →

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

11,329

Total Claims

$256K

Drug Cost

303

Beneficiaries

$845

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. 7,389 General Practice providers

-84%

Opioid rate vs peers

0.4% vs 2.5% avg

-25%

Cost per patient vs peers

$845 vs $1,128 avg

-49%

Brand preference vs peers

4.3% 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

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Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

⚠️

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

0.4%

Opioid Rate

46

Opioid Claims

$348

Opioid Cost

Long-Acting Rate

Brand vs Generic

96% generic

Brand: 484 claims · $125K

Generic: 10,756 claims · $128K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Somatropin12$23K
Insulin Glargine,hum.Rec.Anlog44$20K
Insulin Nph Hum/Reg Insulin Hm40$13K
Levothyroxine Sodium111$10K
Fluoxetine Hcl750$9,240
Chlorpromazine Hcl14$9,138
Estazolam128$6,788
Buprenorphine Hcl/Naloxone Hcl34$6,421
Linagliptin/Metformin Hcl11$5,884
Amitriptyline Hcl218$5,684
Insulin Lispro11$3,902
Omeprazole895$3,856
Clonazepam856$3,739
Temazepam565$3,475
Enalapril Maleate116$3,449

Prescribing Profile

101

Unique Drugs

26.0

Anomaly Score

Patient Profile

63

Avg Age

36%

Female

2.95

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