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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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Mario Quintana MartinezAPRN

Nurse Practitioner · Hialeah, FL 33010

NPI: 1104441161

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15

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

21,352

Total Claims

$1.7M

Drug Cost

948

Beneficiaries

$1,759

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+50%

Cost per patient vs peers

$1,759 vs $1,174 avg

+37%

Brand preference vs peers

12.1% vs 8.9% avg

Brand vs Generic

88% generic

Brand: 2,534 claims · $1.3M

Generic: 18,385 claims · $375K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban156$178K
Insulin Glargine,hum.Rec.Anlog190$99K
Linagliptin52$84K
Sitagliptin Phosphate62$84K
Rivaroxaban52$73K
Bictegrav/Emtricit/Tenofov Ala14$57K
Budesonide/Formoterol Fumarate112$50K
Empagliflozin23$39K
Linaclotide28$33K
Dulaglutide25$31K
Ticagrelor26$25K
Sitagliptin Phos/Metformin Hcl14$25K
Dapagliflozin Propanediol20$22K
Atorvastatin Calcium1,786$22K
Sacubitril/Valsartan17$22K

Prescribing Profile

178

Unique Drugs

$441K

IRA Negotiated Drugs

$31K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

59%

Female

2.06

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