⚠️

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 →

Carlos CastanedaPA-C

Physician Assistant · Miami Beach, FL 33139

NPI: 1013293778

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15

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,359

Total Claims

$491K

Drug Cost

618

Beneficiaries

$794

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

-98%

Opioid rate vs peers

0.2% vs 9.2% avg

+10%

Cost per patient vs peers

$794 vs $719 avg

+30%

Brand preference vs peers

8.7% 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

0.2%

Opioid Rate

15

Opioid Claims

$39

Opioid Cost

Long-Acting Rate

Brand vs Generic

91% generic

Brand: 802 claims · $345K

Generic: 8,462 claims · $137K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban67$80K
Insulin Glargine,hum.Rec.Anlog116$44K
Rivaroxaban19$27K
Insulin Aspart38$19K
Budesonide/Formoterol Fumarate37$19K
Fluticasone Propionate56$18K
Diclofenac Sodium336$11K
Insulin Glargine,hum.Rec.Anlog22$11K
Atorvastatin Calcium553$6,274
Fenofibrate30$6,191
Ipratropium Bromide12$5,999
Fluticasone Propion/Salmeterol31$4,921
Fenofibrate,micronized104$4,737
Mirtazapine100$4,335
Insulin Degludec11$3,990

Prescribing Profile

119

Unique Drugs

$127K

IRA Negotiated Drugs

15.0

Anomaly Score

Patient Profile

77

Avg Age

57%

Female

2.37

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 of wrongdoing.Methodology · About · Dispute this data