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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 →

Nestor Frontera-TacoronteMD

General Practice · Guanica, PR 653

NPI: 1043206246

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24

🟡 Moderate

🤖 ML Fraud Detection Score: 98%

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

15,059

Total Claims

$582K

Drug Cost

600

Beneficiaries

$970

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

-80%

Opioid rate vs peers

0.5% vs 2.5% avg

-14%

Cost per patient vs peers

$970 vs $1,128 avg

-15%

Brand preference vs peers

7.2% 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

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Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

⚠️

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

0.5%

Opioid Rate

76

Opioid Claims

$850

Opioid Cost

Long-Acting Rate

Brand vs Generic

93% generic

Brand: 1,055 claims · $405K

Generic: 13,688 claims · $166K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog137$61K
Insulin Nph Hum/Reg Insulin Hm102$47K
Dapagliflozin Propanediol43$30K
Insulin Lispro46$29K
Apixaban50$26K
Sitagliptin Phos/Metformin Hcl23$23K
Insulin Nph Hum/Reg Insulin Hm24$21K
Empagliflozin22$19K
Rivaroxaban19$16K
Budesonide/Formoterol Fumarate30$11K
Canagliflozin/Metformin Hcl16$11K
Insulin Glargine/Lixisenatide13$11K
Atorvastatin Calcium1,129$9,466
Linagliptin11$8,984
Insulin Glargine,hum.Rec.Anlog20$8,954

Prescribing Profile

154

Unique Drugs

$91K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

74

Avg Age

49%

Female

1.35

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