⚠️

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 →

Alicia Rangel RamirezM.D.

Internal Medicine · Miami, FL 33175

NPI: 1063851624

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15

🟡 Moderate

Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

17,950

Total Claims

$645K

Drug Cost

1,022

Beneficiaries

$631

Cost/Patient

Risk Score Breakdown 15/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-78%

Opioid rate vs peers

0.5% vs 2.2% avg

-55%

Cost per patient vs peers

$631 vs $1,411 avg

+13%

Brand preference vs peers

12.0% vs 10.6% 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

89

Opioid Claims

$289

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,137 claims · $578K

Generic: 15,645 claims · $65K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rivaroxaban130$65K
Apixaban104$61K
Sacubitril/Valsartan58$43K
Linagliptin48$40K
Rifaximin12$40K
Insulin Glargine-Yfgn109$33K
Tiotropium Br/Olodaterol Hcl94$33K
Empagliflozin/Linagliptin28$31K
Fluticasone Propion/Salmeterol64$22K
Empaglifloz/Linaglip/Metformin21$21K
Empagliflozin18$15K
Dabigatran Etexilate Mesylate40$15K
Insulin Aspart Prot/Insuln Asp29$14K
Alogliptin Benzoate61$13K
Budesonide/Formoterol Fumarate32$12K

Prescribing Profile

169

Unique Drugs

$190K

IRA Negotiated Drugs

15.0

Anomaly Score

Patient Profile

77

Avg Age

57%

Female

2.01

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