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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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Lilian Ruano CeballosAPRN

Nurse Practitioner · Miami, FL 33165

NPI: 1093013252

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17

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

17,965

Total Claims

$602K

Drug Cost

549

Beneficiaries

$1,097

Cost/Patient

Risk Score Breakdown 17/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-98%

Opioid rate vs peers

0.1% vs 3.8% avg

-7%

Cost per patient vs peers

$1,097 vs $1,174 avg

-4%

Brand preference vs peers

8.5% vs 8.9% avg

Opioid Prescribing

0.1%

Opioid Rate

13

Opioid Claims

$47

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 1,511 claims · $364K

Generic: 16,283 claims · $235K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban186$102K
Rivaroxaban185$96K
Insulin Glargine,hum.Rec.Anlog245$21K
Sacubitril/Valsartan27$17K
Budesonide/Formoterol Fumarate67$16K
Atorvastatin Calcium1,358$14K
Alogliptin Benzoate76$14K
Albuterol Sulfate298$13K
Sitagliptin Phosphate22$12K
Esomeprazole Magnesium207$11K
Losartan Potassium699$10K
Ticagrelor24$10K
Levothyroxine Sodium262$9,523
Labetalol Hcl128$8,792
Dabigatran Etexilate Mesylate24$7,992

Prescribing Profile

151

Unique Drugs

$250K

IRA Negotiated Drugs

17.0

Anomaly Score

Patient Profile

76

Avg Age

64%

Female

2.28

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