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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 →

Carlos Muniz MolineroMD

Internal Medicine · Aguada, PR 00602

NPI: 1194871277

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49

🟠 Elevated

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128a1 · Date: 20241120 · State: PR

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberOIG Excluded Providerextreme_fills_per_patient

Risk indicators are statistical patterns, not allegations. Learn more

114,910

Total Claims

$5.3M

Drug Cost

2,426

Beneficiaries

$2,202

Cost/Patient

Risk Score Breakdown 49/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-67%

Opioid rate vs peers

0.7% vs 2.2% avg

+56%

Cost per patient vs peers

$2,202 vs $1,411 avg

-5%

Brand preference vs peers

10.1% vs 10.6% 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.

Opioid Prescribing

0.7%

Opioid Rate

836

Opioid Claims

$12K

Opioid Cost

—

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 11,468 claims · $4.1M

Generic: 101,797 claims · $1.2M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog893$407K
Dulaglutide356$352K
Sitagliptin Phosphate480$295K
Apixaban514$293K
Dapagliflozin Propanediol488$291K
Sitagliptin Phos/Metformin Hcl496$266K
Insulin Lispro620$249K
Empagliflozin294$195K
Insulin Nph Hum/Reg Insulin Hm398$139K
Rivaroxaban219$120K
Tiotropium Bromide212$112K
Budesonide/Formoterol Fumarate262$104K
Levothyroxine Sodium1,353$69K
Tiotropium Br/Olodaterol Hcl127$61K
Insulin Glargine,hum.Rec.Anlog106$55K

Prescribing Profile

321

Unique Drugs

$1.2M

IRA Negotiated Drugs

$420K

GLP-1 Drugs

49.0

Anomaly Score

Patient Profile

74

Avg Age

55%

Female

2.47

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