⚠️

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 →

Norberto Ortiz CastroMD

Family Practice · Las Marias, PR 00670

NPI: 1033278791

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26

🟡 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-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

18,351

Total Claims

$464K

Drug Cost

503

Beneficiaries

$923

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. 106,889 Family Practice providers

-32%

Opioid rate vs peers

1.8% vs 2.6% avg

-14%

Cost per patient vs peers

$923 vs $1,068 avg

-21%

Brand preference vs peers

7.1% vs 9.0% 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

1.8%

Opioid Rate

323

Opioid Claims

$2,417

Opioid Cost

Long-Acting Rate

Brand vs Generic

93% generic

Brand: 1,276 claims · $279K

Generic: 16,710 claims · $176K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog116$55K
Insulin Nph Human Isophane174$35K
Rivaroxaban38$22K
Insulin Regular, Human74$16K
Apixaban25$14K
Losartan Potassium478$10K
Levothyroxine Sodium883$9,713
Dapagliflozin Propanediol15$8,679
Albuterol Sulfate195$8,582
Ticagrelor18$8,046
Atorvastatin Calcium666$7,982
Insulin Nph Hum/Reg Insulin Hm26$6,986
Glimepiride306$6,785
Fluticasone Propion/Salmeterol16$6,651
Gabapentin1,159$5,607

Prescribing Profile

162

Unique Drugs

$45K

IRA Negotiated Drugs

26.0

Anomaly Score

Patient Profile

73

Avg Age

54%

Female

1.93

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