⚠️

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 →

Luis Guzman-LugoM.D.

Family Medicine · Bayamon, PR 956

NPI: 1053385005

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26

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

16,008

Total Claims

$498K

Drug Cost

355

Beneficiaries

$1,404

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. 712 Family Medicine providers

-89%

Opioid rate vs peers

0.4% vs 3.5% avg

+72%

Cost per patient vs peers

$1,404 vs $816 avg

+20%

Brand preference vs peers

7.5% vs 6.2% 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

0.4%

Opioid Rate

62

Opioid Claims

$249

Opioid Cost

Long-Acting Rate

Brand vs Generic

93% generic

Brand: 1,181 claims · $341K

Generic: 14,599 claims · $150K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban104$60K
Insulin Glargine,hum.Rec.Anlog105$50K
Insulin Nph Hum/Reg Insulin Hm162$43K
Rivaroxaban36$24K
Insulin Lispro55$22K
Levothyroxine Sodium174$12K
Dulaglutide11$11K
Insulin Lispro Protamin/Lispro18$9,031
Fluticasone Propionate27$8,634
Levothyroxine Sodium656$8,567
Atorvastatin Calcium1,234$8,415
Empagliflozin12$7,335
Sitagliptin Phos/Metformin Hcl13$7,051
Colchicine12$6,066
Glipizide546$5,606

Prescribing Profile

149

Unique Drugs

$92K

IRA Negotiated Drugs

$11K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

78

Avg Age

59%

Female

1.72

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