⚠️

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 →

Manuel Rodriguez ZayasMD

Internal Medicine · Ponce, PR 716

NPI: 1023094281

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18

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

9,330

Total Claims

$728K

Drug Cost

329

Beneficiaries

$2,212

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. 110,156 Internal Medicine providers

-80%

Opioid rate vs peers

0.4% vs 2.2% avg

+57%

Cost per patient vs peers

$2,212 vs $1,411 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

0.4%

Opioid Rate

41

Opioid Claims

$335

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 976 claims · $574K

Generic: 8,217 claims · $147K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol81$113K
Apixaban58$92K
Insulin Glargine,hum.Rec.Anlog67$52K
Dapaglifloz Propaned/Metformin39$51K
Rivaroxaban19$29K
Insulin Nph Hum/Reg Insulin Hm52$26K
Empagliflozin17$20K
Levothyroxine Sodium131$16K
Insulin Lispro21$15K
Sitagliptin Phos/Metformin Hcl15$15K
Insulin Lispro Protamin/Lispro26$14K
Insulin Nph Hum/Reg Insulin Hm19$11K
Budesonide/Formoterol Fumarate26$9,488
Metoprolol Succinate356$8,162
Losartan Potassium358$7,381

Prescribing Profile

115

Unique Drugs

$254K

IRA Negotiated Drugs

18.0

Anomaly Score

Patient Profile

76

Avg Age

59%

Female

2.42

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