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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 →

Raphael SantanaFNP

Nurse Practitioner · Eagle Pass, TX 78852

NPI: 1417348186

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20

🟡 Moderate

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

Exclusion type: 1128a4 · Date: 20231220 · State: TX

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

600

Total Claims

$76K

Drug Cost

215

Beneficiaries

$354

Cost/Patient

Risk Score Breakdown 20/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-70%

Cost per patient vs peers

$354 vs $1,174 avg

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 512 claims · $13K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate15$24K
Atorvastatin Calcium46$644
Losartan Potassium28$519
Donepezil Hcl19$453
Metoprolol Succinate18$407
Celecoxib16$386
Diclofenac Sodium20$379
Metformin Hcl18$276
Levothyroxine Sodium15$275
Albuterol Sulfate11$268
Hydralazine Hcl11$204
Glimepiride16$201
Lisinopril12$118
Hydrochlorothiazide14$117
Metformin Hcl13$101

Prescribing Profile

16

Unique Drugs

$24K

IRA Negotiated Drugs

20.0

Anomaly Score

Patient Profile

74

Avg Age

52%

Female

1.50

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