⚠️

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 →

Jose Vivaldi PicoM.D.

General Practice · Hatillo, PR 659

NPI: 1053354720

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26

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

14,378

Total Claims

$965K

Drug Cost

458

Beneficiaries

$2,107

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 7,389 General Practice providers

-79%

Opioid rate vs peers

0.5% vs 2.5% avg

+87%

Cost per patient vs peers

$2,107 vs $1,128 avg

+52%

Brand preference vs peers

12.8% vs 8.4% 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

0.5%

Opioid Rate

73

Opioid Claims

$359

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,817 claims · $799K

Generic: 12,381 claims · $162K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phos/Metformin Hcl141$124K
Insulin Glargine,hum.Rec.Anlog165$77K
Apixaban77$54K
Rivaroxaban40$38K
Insulin Lispro48$30K
Dulaglutide31$29K
Dapagliflozin Propanediol40$26K
Insulin Nph Human Isophane64$25K
Budesonide/Formoterol Fumarate63$24K
Levothyroxine Sodium274$23K
Insulin Nph Hum/Reg Insulin Hm54$22K
Empagliflozin24$20K
Tiotropium Bromide32$17K
Insulin Glargine/Lixisenatide19$16K
Empaglifloz/Linaglip/Metformin14$14K

Prescribing Profile

149

Unique Drugs

$148K

IRA Negotiated Drugs

$29K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

72

Avg Age

55%

Female

2.36

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