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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.

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Sergio Hernandez Borges

Internal Medicine · Miami, FL 33175

NPI: 1043600414

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15

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

12,911

Total Claims

$1.2M

Drug Cost

614

Beneficiaries

$1,927

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-93%

Opioid rate vs peers

0.2% vs 2.2% avg

+37%

Cost per patient vs peers

$1,927 vs $1,411 avg

+56%

Brand preference vs peers

16.6% vs 10.6% avg

Opioid Prescribing

0.2%

Opioid Rate

20

Opioid Claims

$340

Opioid Cost

Long-Acting Rate

Brand vs Generic

83% generic

Brand: 2,132 claims · $834K

Generic: 10,694 claims · $348K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban504$164K
Valbenazine Tosylate13$96K
Bictegrav/Emtricit/Tenofov Ala12$48K
Rivaroxaban136$39K
Daptomycin15$32K
Sitagliptin Phosphate66$27K
Rifaximin17$25K
Sacubitril/Valsartan35$20K
Vibegron76$19K
Insulin Aspart104$17K
Epoetin Alfa24$15K
Dapagliflozin Propanediol29$14K
Insulin Glargine,hum.Rec.Anlog89$14K
Umeclidinium Brm/Vilanterol Tr27$13K
Sevelamer Carbonate41$13K

Prescribing Profile

172

Unique Drugs

$291K

IRA Negotiated Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

50%

Female

3.11

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