⚠️

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 →

Roberto Guerra Del CastilloMD

Internal Medicine · Sweetwater, FL 33172

NPI: 1003156209

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8

🟢 Low

ML Fraud Detection Score: 94%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

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Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

2,176

Total Claims

$237K

Drug Cost

347

Beneficiaries

$682

Cost/Patient

Risk Score Breakdown 8/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-65%

Opioid rate vs peers

0.8% vs 2.2% avg

-52%

Cost per patient vs peers

$682 vs $1,411 avg

+33%

Brand preference vs peers

14.1% vs 10.6% 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

🤖

ML fraud detection score of 94% indicates prescribing patterns with significant similarity to confirmed fraud cases. 19 out of 20 decision trees flagged this provider.

⚠️

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

17

Opioid Claims

$53

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 304 claims · $195K

Generic: 1,851 claims · $41K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban29$22K
Sitagliptin Phosphate19$13K
Empagliflozin12$12K
Semaglutide11$11K
Omega-3 Acid Ethyl Esters38$3,688
Candesartan Cilexetil17$1,505
Atorvastatin Calcium111$1,096
Testosterone Cypionate23$1,082
Olmesartan/Hydrochlorothiazide14$918
Levothyroxine Sodium36$742
Famotidine61$709
Metoprolol Succinate44$630
Gabapentin67$605
Omeprazole26$563
Pantoprazole Sodium43$455

Prescribing Profile

55

Unique Drugs

$47K

IRA Negotiated Drugs

$11K

GLP-1 Drugs

8.0

Anomaly Score

Patient Profile

76

Avg Age

51%

Female

2.25

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