⚠️

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 →

Rafael Capote SarmientoMD

Family Practice · Palmetto Bay, FL 33157

NPI: 1104322452

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

17,520

Total Claims

$639K

Drug Cost

689

Beneficiaries

$928

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. 106,889 Family Practice providers

-92%

Opioid rate vs peers

0.2% vs 2.6% avg

-13%

Cost per patient vs peers

$928 vs $1,068 avg

-9%

Brand preference vs peers

8.2% 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

0.2%

Opioid Rate

34

Opioid Claims

$155

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 1,423 claims · $377K

Generic: 15,917 claims · $258K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban203$111K
Fluticasone Propion/Salmeterol212$47K
Rivaroxaban58$30K
Sitagliptin Phosphate51$28K
Insulin Aspart Prot/Insuln Asp41$18K
Budesonide/Formoterol Fumarate74$17K
Ezetimibe190$13K
Sacubitril/Valsartan18$12K
Levothyroxine Sodium360$12K
Esomeprazole Magnesium196$11K
Insulin Glargine,hum.Rec.Anlog18$11K
Bimatoprost45$10K
Atorvastatin Calcium988$9,808
Albuterol Sulfate233$9,524
Insulin Aspart38$8,905

Prescribing Profile

150

Unique Drugs

$189K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

76

Avg Age

61%

Female

2.18

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