Medicare Fraud Risk in Puerto Rico
8 of 11,379 Medicare Part D prescribers in Puerto Rico (0.07%) were flagged as high-risk by our multi-factor scoring model.
Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026
8
High-Risk Providers
$6.4M
Flagged Provider Costs
0.07%
Of Providers Flagged
5.3%
State Avg Opioid Rate
Highest-Risk Prescribers in Puerto Rico
Risk scores are statistical indicators, not allegations of wrongdoing. Learn about our methodology.
| Provider | Risk Score | Drug Cost |
|---|---|---|
| Carlos Muniz Molinero | 49/100 | $5.3M |
| Jorge De Jesus | 47/100 | $323K |
| Antonio Castillo | 40/100 | $221K |
| Kimberly Ramos-Ramos | 40/100 | $18K |
| Boris Guzman-Hernandez | 35/100 | $57K |
| Cesar Cubano | 35/100 | $420K |
| Laura Rodriguez Rivera | 31/100 | $951 |
| Milagros Torres | 30/100 | $21K |
By Specialty
General Practice4
Internal Medicine2
Psychiatry & Neurology1
Psychiatry1
By City
Aguada1
Mayaguez1
Trujillo Alto1
Yabucoa1
Bayamon1
Hatillo1
Ponce1
Vega Baja1
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are computed using our 10-component statistical model analyzing prescribing patterns relative to specialty peers. High risk scores indicate unusual patterns that may warrant review — they are not accusations of fraud. Dispute this data