⚠️

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 →

Anissa RamirezP.A.

Physician Assistant · San Antonio, TX 78214

NPI: 1003116740

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

5,957

Total Claims

$1.1M

Drug Cost

774

Beneficiaries

$1,465

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

-80%

Opioid rate vs peers

1.8% vs 9.2% avg

+104%

Cost per patient vs peers

$1,465 vs $719 avg

+139%

Brand preference vs peers

15.9% vs 6.7% 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

1.8%

Opioid Rate

110

Opioid Claims

$761

Opioid Cost

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 937 claims · $1.0M

Generic: 4,961 claims · $118K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin152$235K
Sitagliptin Phosphate56$78K
Dulaglutide22$59K
Liraglutide16$52K
Semaglutide35$51K
Vortioxetine Hydrobromide38$46K
Insulin Glargine/Lixisenatide44$42K
Fluticasone/Umeclidin/Vilanter30$37K
Rivaroxaban21$36K
Mirabegron31$33K
Insulin Glargine,hum.Rec.Anlog40$26K
Dapagliflozin Propanediol17$21K
Vibegron21$21K
Tirzepatide18$21K
Apixaban23$18K

Prescribing Profile

93

Unique Drugs

$389K

IRA Negotiated Drugs

$183K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

75

Avg Age

51%

Female

2.20

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 of wrongdoing.Methodology · About · Dispute this data