⚠️

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 →

Juan CarmonaMD

General Practice · Cape Coral, FL 33990

NPI: 1083153761

Share:

24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

30,257

Total Claims

$3.7M

Drug Cost

1,106

Beneficiaries

$3,363

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. 7,389 General Practice providers

-92%

Opioid rate vs peers

0.2% vs 2.5% avg

+198%

Cost per patient vs peers

$3,363 vs $1,128 avg

+74%

Brand preference vs peers

14.6% 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

0.2%

Opioid Rate

62

Opioid Claims

$408

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 4,264 claims · $2.8M

Generic: 24,950 claims · $851K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin305$285K
Dapagliflozin Propanediol315$246K
Apixaban212$184K
Sitagliptin Phosphate199$175K
Dulaglutide121$143K
Tirzepatide109$130K
Semaglutide112$118K
Dexlansoprazole170$90K
Lipase/Protease/Amylase118$86K
Empagliflozin/Linagliptin89$82K
Rivaroxaban97$82K
Insulin Glargine,hum.Rec.Anlog138$80K
Fluticasone/Umeclidin/Vilanter97$74K
Sacubitril/Valsartan73$72K
Budesonide/Glycopyr/Formoterol97$65K

Prescribing Profile

216

Unique Drugs

$1.0M

IRA Negotiated Drugs

$423K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

74

Avg Age

63%

Female

1.77

Avg Risk Score

Explore More

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