⚠️

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 →

Agustin RubioM.D.

Family Practice · Reedley, CA 93654

NPI: 1417131236

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31

🟠 Elevated

Risk Flags

High cost outlier (population + peer)High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

17,977

Total Claims

$3.2M

Drug Cost

623

Beneficiaries

$5,160

Cost/Patient

Risk Score Breakdown 31/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Cost per patient outlier+6
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+161%

Opioid rate vs peers

6.7% vs 2.6% avg

+383%

Cost per patient vs peers

$5,160 vs $1,068 avg

+115%

Brand preference vs peers

19.3% vs 9.0% 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

6.7%

Opioid Rate

1,209

Opioid Claims

$68K

Opioid Cost

10.7%

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 3,433 claims · $2.7M

Generic: 14,315 claims · $464K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin446$482K
Semaglutide449$480K
Dapagliflozin Propanediol276$248K
Dulaglutide169$181K
Semaglutide113$144K
Apixaban134$107K
Linaclotide175$105K
Dapaglifloz Propaned/Metformin90$99K
Insulin Aspart67$61K
Linagliptin69$54K
Empagliflozin/Metformin Hcl64$54K
Finerenone47$46K
Sacubitril/Valsartan40$46K
Insulin Glargine,hum.Rec.Anlog60$42K
Rivaroxaban32$37K

Prescribing Profile

192

Unique Drugs

$1.0M

IRA Negotiated Drugs

$805K

GLP-1 Drugs

31.0

Anomaly Score

Patient Profile

73

Avg Age

53%

Female

1.37

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