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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 →

Ricardo CigarroaM.D.

Interventional Cardiology · Laredo, TX 78041

NPI: 1295774594

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

29,569

Total Claims

$2.3M

Drug Cost

2,871

Beneficiaries

$796

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 4,479 Interventional Cardiology providers

-24%

Cost per patient vs peers

$796 vs $1,054 avg

-20%

Brand preference vs peers

10.4% vs 13.1% 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

0.8%

Opioid Rate

249

Opioid Claims

$1,667

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 3,078 claims · $1.8M

Generic: 26,384 claims · $524K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate258$269K
Sacubitril/Valsartan249$242K
Rivaroxaban214$208K
Empagliflozin127$142K
Apixaban173$137K
Verapamil Hcl398$126K
Linagliptin90$89K
Dulaglutide46$88K
Semaglutide73$73K
Dapagliflozin Propanediol49$46K
Sitagliptin Phos/Metformin Hcl52$43K
Clonidine255$38K
Clopidogrel Bisulfate1,940$27K
Labetalol Hcl633$25K
Insulin Glargine,hum.Rec.Anlog32$24K

Prescribing Profile

160

Unique Drugs

$1.1M

IRA Negotiated Drugs

$161K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

74

Avg Age

53%

Female

1.71

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