⚠️

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 →

Miguel RiveraM.D.

Endocrinology · Metairie, LA 70006

NPI: 1104840404

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30

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peersOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,443

Total Claims

$2.2M

Drug Cost

679

Beneficiaries

$3,255

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 6,382 Endocrinology providers

-17%

Cost per patient vs peers

$3,255 vs $3,933 avg

-47%

Brand preference vs peers

27.0% vs 51.2% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

⚠️ 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.

Opioid Prescribing

2.3%

Opioid Rate

237

Opioid Claims

$4,814

Opioid Cost

Long-Acting Rate

Brand vs Generic

73% generic

Brand: 2,709 claims · $2.0M

Generic: 7,322 claims · $157K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide310$377K
Dulaglutide164$177K
Sitagliptin Phos/Metformin Hcl180$176K
Tirzepatide127$148K
Insulin Glargine,hum.Rec.Anlog172$119K
Insulin Aspart112$103K
Empagliflozin80$92K
Insulin Lispro44$50K
Insulin Degludec37$48K
Insulin Aspart Prot/Insuln Asp36$46K
Apixaban48$44K
Sitagliptin Phosphate57$43K
Insulin Lispro Protamin/Lispro36$43K
Dapagliflozin Propanediol47$43K
Insulin Aspart46$42K

Prescribing Profile

134

Unique Drugs

$366K

IRA Negotiated Drugs

$738K

GLP-1 Drugs

30.0

Anomaly Score

Patient Profile

72

Avg Age

69%

Female

1.51

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