⚠️

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 →

Arturo Suarez

Internal Medicine · Hialeah, FL 33013

NPI: 1013949221

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21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

22,479

Total Claims

$974K

Drug Cost

1,473

Beneficiaries

$662

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-42%

Opioid rate vs peers

1.3% vs 2.2% avg

-53%

Cost per patient vs peers

$662 vs $1,411 avg

+1%

Brand preference vs peers

10.7% 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

⚠️

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

1.3%

Opioid Rate

291

Opioid Claims

$420

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,387 claims · $890K

Generic: 19,836 claims · $82K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rivaroxaban383$192K
Upadacitinib12$79K
Dabigatran Etexilate Mesylate191$66K
Apixaban93$53K
Empagliflozin55$43K
Linagliptin34$32K
Sacubitril/Valsartan37$27K
Budesonide/Formoterol Fumarate61$25K
Insulin Glargine-Yfgn135$23K
Ticagrelor47$22K
Alogliptin Benzoate70$18K
Empagliflozin/Metformin Hcl14$18K
Fluticasone/Umeclidin/Vilanter25$17K
Fluticasone Propion/Salmeterol43$15K
Dulaglutide15$15K

Prescribing Profile

210

Unique Drugs

$319K

IRA Negotiated Drugs

$15K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

78

Avg Age

52%

Female

1.95

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