⚠️

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 →

Linda EsquivelMD

Family Practice · San Antonio, TX 78251

NPI: 1043342181

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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

13,606

Total Claims

$1.8M

Drug Cost

783

Beneficiaries

$2,356

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. 106,889 Family Practice providers

-69%

Opioid rate vs peers

0.8% vs 2.6% avg

+121%

Cost per patient vs peers

$2,356 vs $1,068 avg

+42%

Brand preference vs peers

12.8% 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

0.8%

Opioid Rate

110

Opioid Claims

$505

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,701 claims · $1.6M

Generic: 11,640 claims · $214K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide144$301K
Tirzepatide73$155K
Sitagliptin Phosphate83$113K
Dulaglutide50$102K
Insulin Degludec70$97K
Empagliflozin45$65K
Apixaban57$62K
Dapagliflozin Propanediol50$62K
Linaclotide44$53K
Insulin Glargine,hum.Rec.Anlog64$52K
Insulin Glargine,hum.Rec.Anlog24$35K
Mirabegron28$34K
Insulin Aspart25$33K
Rivaroxaban17$28K
Sitagliptin Phos/Metformin Hcl14$23K

Prescribing Profile

156

Unique Drugs

$364K

IRA Negotiated Drugs

$572K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

71

Avg Age

70%

Female

1.43

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