⚠️

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 →

Rafael Nunez GutierrezMD

Family Practice · West Covina, CA 91790

NPI: 1033475041

Share:

20

🟡 Moderate

Risk Flags

Elevated long-acting opioid rateElevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

8,968

Total Claims

$329K

Drug Cost

1,166

Beneficiaries

$282

Cost/Patient

Risk Score Breakdown 20/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-25%

Opioid rate vs peers

1.9% vs 2.6% avg

-74%

Cost per patient vs peers

$282 vs $1,068 avg

-30%

Brand preference vs peers

6.3% vs 9.0% 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

1.9%

Opioid Rate

174

Opioid Claims

$6,148

Opioid Cost

21.3%

Long-Acting Rate

Brand vs Generic

94% generic

Brand: 552 claims · $175K

Generic: 8,206 claims · $150K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin33$23K
Apixaban14$22K
Insulin Nph Human Isophane97$17K
Dabigatran Etexilate Mesylate53$16K
Terazosin Hcl257$14K
Insulin Nph Human Isophane68$14K
Tiotropium Bromide25$12K
Atorvastatin Calcium833$11K
Fluticasone Propion/Salmeterol33$9,861
Ciclesonide32$7,796
Lisinopril553$6,995
Amlodipine Besylate393$5,022
Levothyroxine Sodium209$4,756
Losartan Potassium322$4,141
Metformin Hcl349$4,019

Prescribing Profile

109

Unique Drugs

$45K

IRA Negotiated Drugs

20.0

Anomaly Score

Patient Profile

75

Avg Age

45%

Female

1.22

Avg Risk Score

Explore More

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