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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.

Read our methodology →

Fernando EsparzaMD

Family Practice · Miami, FL 33165

NPI: 1083651178

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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

28,320

Total Claims

$1.6M

Drug Cost

711

Beneficiaries

$2,297

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. 106,889 Family Practice providers

-88%

Opioid rate vs peers

0.3% vs 2.6% avg

+115%

Cost per patient vs peers

$2,297 vs $1,068 avg

+66%

Brand preference vs peers

14.9% vs 9.0% 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

0.3%

Opioid Rate

88

Opioid Claims

$568

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 4,154 claims · $1.2M

Generic: 23,640 claims · $421K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban525$333K
Rivaroxaban141$94K
Insulin Detemir177$64K
Icosapent Ethyl159$56K
Sacubitril/Valsartan61$47K
Cyclosporine63$43K
Insulin Glargine,hum.Rec.Anlog99$42K
Silver Sulfadiazine773$35K
Linaclotide57$32K
Sitagliptin Phosphate26$31K
Budesonide/Formoterol Fumarate62$31K
Insulin Aspart Prot/Insuln Asp33$25K
Silver Sulfadiazine391$21K
Insulin Aspart63$20K
Linagliptin27$20K

Prescribing Profile

199

Unique Drugs

$542K

IRA Negotiated Drugs

26.0

Anomaly Score

Patient Profile

80

Avg Age

69%

Female

2.37

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