⚠️

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 →

Eugenio GuevaraM.D.

Neurology · Hialeah, FL 33013

NPI: 1033305701

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32

🟠 Elevated

Risk Flags

High opioid rate vs specialty peersHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

13,265

Total Claims

$920K

Drug Cost

2,211

Beneficiaries

$416

Cost/Patient

Risk Score Breakdown 32/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 13,194 Neurology providers

+1086%

Opioid rate vs peers

15.5% vs 1.3% avg

-90%

Cost per patient vs peers

$416 vs $4,034 avg

-76%

Brand preference vs peers

2.2% vs 9.4% 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

⚠️

Opioid prescribing rate is 1,086% above the average for Neurology providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

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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

15.5%

Opioid Rate

2,057

Opioid Claims

$36K

Opioid Cost

0.7%

Long-Acting Rate

Brand vs Generic

98% generic

Brand: 294 claims · $529K

Generic: 12,919 claims · $389K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Pimavanserin Tartrate58$298K
Carbidopa/Levodopa1,513$66K
Rasagiline Mesylate93$52K
Carbidopa/Levodopa1,860$39K
Pregabalin40$31K
Memantine Hcl1,596$31K
Brivaracetam33$30K
Carbidopa/Levodopa56$25K
Oxycodone Hcl/Acetaminophen1,051$25K
Levetiracetam693$21K
Levetiracetam320$18K
Rotigotine12$9,275
Pregabalin282$9,224
Pyridostigmine Bromide93$8,854
Divalproex Sodium302$8,683

Prescribing Profile

46

Unique Drugs

32.0

Anomaly Score

Patient Profile

76

Avg Age

62%

Female

2.61

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