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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 →

Rafael Cruz MenaMD

Psychiatry · Rio Grande, PR 745

NPI: 1033149661

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15

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

13,141

Total Claims

$344K

Drug Cost

462

Beneficiaries

$745

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 21,141 Psychiatry providers

-56%

Cost per patient vs peers

$745 vs $1,696 avg

Brand vs Generic

99% generic

Brand: 84 claims · $23K

Generic: 13,057 claims · $321K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Chlorpromazine Hcl297$136K
Haloperidol681$25K
Olanzapine12$17K
Temazepam1,828$15K
Trazodone Hcl1,511$15K
Perphenazine206$13K
Carbamazepine352$11K
Divalproex Sodium627$8,660
Lorazepam1,128$8,262
Clonazepam1,338$8,089
Methylphenidate Hcl12$6,948
Fluphenazine Hcl26$6,710
Amantadine Hcl123$5,712
Mirtazapine389$5,223
Estazolam138$5,062

Prescribing Profile

46

Unique Drugs

15.0

Anomaly Score

Patient Profile

68

Avg Age

44%

Female

2.09

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