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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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Cielomar PerezMD

Internal Medicine · San Juan, PR 926

NPI: 1093792178

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12

🟢 Low

Risk Flags

Elevated antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

11,494

Total Claims

$667K

Drug Cost

325

Beneficiaries

$2,053

Cost/Patient

Risk Score Breakdown 12/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+45%

Cost per patient vs peers

$2,053 vs $1,411 avg

+12%

Brand preference vs peers

12.0% vs 10.6% avg

Brand vs Generic

88% generic

Brand: 1,354 claims · $523K

Generic: 9,971 claims · $139K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate140$104K
Insulin Glargine,hum.Rec.Anlog103$51K
Dulaglutide40$44K
Empagliflozin43$35K
Apixaban33$26K
Levothyroxine Sodium390$25K
Insulin Lispro38$22K
Insulin Nph Human Isophane45$20K
Rivaroxaban21$18K
Dapagliflozin Propanediol27$16K
Insulin Nph Hum/Reg Insulin Hm34$13K
Sitagliptin Phos/Metformin Hcl13$12K
Dapaglifloz Propaned/Metformin12$8,264
Canagliflozin13$7,665
Atorvastatin Calcium633$6,481

Prescribing Profile

142

Unique Drugs

$204K

IRA Negotiated Drugs

$44K

GLP-1 Drugs

12.0

Anomaly Score

Patient Profile

71

Avg Age

62%

Female

1.67

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