⚠️

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 →

Jorge Fernandez NovalesM.D

General Practice · Miami, FL 33126

NPI: 1033564554

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

15,742

Total Claims

$1.3M

Drug Cost

792

Beneficiaries

$1,657

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. 7,389 General Practice providers

-59%

Opioid rate vs peers

1.0% vs 2.5% avg

+47%

Cost per patient vs peers

$1,657 vs $1,128 avg

+50%

Brand preference vs peers

12.6% vs 8.4% 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

⚠️

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

159

Opioid Claims

$1,309

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,954 claims · $1.0M

Generic: 13,504 claims · $281K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban217$231K
Rivaroxaban101$93K
Empagliflozin50$60K
Denosumab31$52K
Insulin Glargine,hum.Rec.Anlog113$50K
Sacubitril/Valsartan33$45K
Sitagliptin Phosphate38$39K
Sitagliptin Phos/Metformin Hcl31$33K
Insulin Glargine,hum.Rec.Anlog70$29K
Budesonide/Formoterol Fumarate71$29K
Linagliptin32$27K
Insulin Lispro53$24K
Insulin Lispro29$23K
Sitagliptin Phos/Metformin Hcl14$20K
Insulin Aspart25$17K

Prescribing Profile

179

Unique Drugs

$504K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

77

Avg Age

59%

Female

2.31

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