⚠️

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 →

Carlos GuerraM.D.

Internal Medicine · Hialeah, FL 33012

NPI: 1093735268

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18

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

17,135

Total Claims

$1.2M

Drug Cost

682

Beneficiaries

$1,693

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-90%

Opioid rate vs peers

0.2% vs 2.2% avg

+20%

Cost per patient vs peers

$1,693 vs $1,411 avg

+10%

Brand preference vs peers

11.7% 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

0.2%

Opioid Rate

39

Opioid Claims

$141

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,996 claims · $941K

Generic: 15,058 claims · $213K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban181$266K
Rivaroxaban91$147K
Sacubitril/Valsartan39$59K
Fluticasone Propion/Salmeterol220$31K
Mirabegron23$31K
Sitagliptin Phos/Metformin Hcl16$28K
Lipase/Protease/Amylase27$27K
Budesonide/Formoterol Fumarate51$20K
Icosapent Ethyl18$18K
Linaclotide21$18K
Sitagliptin Phosphate11$18K
Albuterol Sulfate478$18K
Linagliptin12$18K
Ticagrelor12$17K
Brimonidine Tartrate/Timolol68$16K

Prescribing Profile

169

Unique Drugs

$490K

IRA Negotiated Drugs

18.0

Anomaly Score

Patient Profile

82

Avg Age

58%

Female

2.66

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