⚠️

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 →

Madeline Santos-CarloMD

Psychiatry · Bayamon, PR 00959

NPI: 1073691994

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24

🟡 Moderate

ML Fraud Detection Score: 95%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

Learn more →

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

24,573

Total Claims

$382K

Drug Cost

996

Beneficiaries

$384

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 21,141 Psychiatry providers

-77%

Cost per patient vs peers

$384 vs $1,696 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

🤖

ML fraud detection score of 95% indicates prescribing patterns with significant similarity to confirmed fraud cases. 19 out of 20 decision trees flagged this provider.

⚠️

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

0.1%

Opioid Rate

34

Opioid Claims

$200

Opioid Cost

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 24,190 claims · $334K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Estazolam1,763$98K
Clonazepam4,551$31K
Temazepam2,593$18K
Mirtazapine1,289$14K
Escitalopram Oxalate2,094$14K
Bupropion Hcl831$14K
Vortioxetine Hydrobromide28$13K
Duloxetine Hcl883$11K
Aripiprazole434$9,833
Desvenlafaxine Succinate197$8,632
Alprazolam1,197$8,448
Chlorpromazine Hcl21$7,221
Paliperidone13$7,196
Quetiapine Fumarate836$6,148
Lorazepam572$5,811

Prescribing Profile

66

Unique Drugs

24.0

Anomaly Score

Patient Profile

63

Avg Age

59%

Female

1.80

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