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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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Juan Gomez HernandezMD

General Practice · Yabucoa, PR 00767

NPI: 1063521912

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12

🟢 Low

Risk Flags

Elevated antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

22,258

Total Claims

$1.3M

Drug Cost

680

Beneficiaries

$1,971

Cost/Patient

Risk Score Breakdown 12/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 7,389 General Practice providers

-98%

Opioid rate vs peers

0.0% vs 2.5% avg

+75%

Cost per patient vs peers

$1,971 vs $1,128 avg

+40%

Brand preference vs peers

11.8% vs 8.4% avg

Brand vs Generic

88% generic

Brand: 2,580 claims · $1.1M

Generic: 19,345 claims · $248K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate158$129K
Insulin Glargine,hum.Rec.Anlog261$100K
Rivaroxaban118$90K
Empagliflozin101$90K
Dulaglutide81$77K
Linaclotide86$54K
Levothyroxine Sodium588$53K
Apixaban83$48K
Dapagliflozin Propanediol41$36K
Linagliptin37$29K
Insulin Lispro53$26K
Sitagliptin Phos/Metformin Hcl20$24K
Insulin Nph Human Isophane97$21K
Insulin Nph Hum/Reg Insulin Hm51$17K
Rivastigmine23$16K

Prescribing Profile

177

Unique Drugs

$413K

IRA Negotiated Drugs

$77K

GLP-1 Drugs

12.0

Anomaly Score

Patient Profile

71

Avg Age

53%

Female

1.55

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