⚠️

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 RamosM.D.

Internal Medicine · San Sebastian, PR 00685

NPI: 1023231131

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24

🟡 Moderate

🤖 ML Fraud Detection Score: 93%

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-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

21,145

Total Claims

$718K

Drug Cost

828

Beneficiaries

$867

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. 110,156 Internal Medicine providers

-54%

Opioid rate vs peers

1.0% vs 2.2% avg

-39%

Cost per patient vs peers

$867 vs $1,411 avg

-15%

Brand preference vs peers

9.1% vs 10.6% 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 93% indicates prescribing patterns with significant similarity to confirmed fraud cases. 19 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

1.0%

Opioid Rate

217

Opioid Claims

$1,700

Opioid Cost

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 1,899 claims · $434K

Generic: 19,047 claims · $278K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog224$80K
Insulin Nph Hum/Reg Insulin Hm196$50K
Levothyroxine Sodium619$35K
Insulin Regular, Human174$28K
Insulin Lispro Protamin/Lispro40$20K
Insulin Nph Human Isophane65$19K
Sitagliptin Phos/Metformin Hcl17$18K
Sitagliptin Phosphate14$17K
Apixaban21$13K
Losartan Potassium462$12K
Famotidine1,430$11K
Atorvastatin Calcium637$10K
Gabapentin1,761$9,350
Insulin Lispro Protamin/Lispro15$8,741
Levothyroxine Sodium643$8,239

Prescribing Profile

172

Unique Drugs

$30K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

73

Avg Age

49%

Female

2.39

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