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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 →

Javier EspinalM.D

Internal Medicine · Tamarac, FL 33321

NPI: 1023326410

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9

🟢 Low

Risk Flags

Elevated antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

11,673

Total Claims

$658K

Drug Cost

547

Beneficiaries

$1,202

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-15%

Cost per patient vs peers

$1,202 vs $1,411 avg

-13%

Brand preference vs peers

9.2% vs 10.6% avg

Brand vs Generic

91% generic

Brand: 1,053 claims · $489K

Generic: 10,386 claims · $163K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban158$91K
Sitagliptin Phosphate92$68K
Rivaroxaban92$56K
Dapagliflozin Propanediol69$41K
Insulin Glargine,hum.Rec.Anlog103$39K
Sacubitril/Valsartan56$36K
Sitagliptin Phos/Metformin Hcl33$18K
Fluticasone Propion/Salmeterol51$13K
Insulin Aspart Prot/Insuln Asp31$12K
Levothyroxine Sodium438$12K
Budesonide/Formoterol Fumarate24$10K
Bimatoprost39$9,525
Losartan Potassium627$9,503
Ticagrelor18$9,135
Atorvastatin Calcium856$8,659

Prescribing Profile

121

Unique Drugs

$309K

IRA Negotiated Drugs

9.0

Anomaly Score

Patient Profile

76

Avg Age

59%

Female

1.86

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