⚠️

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 CidreMD

Internal Medicine · Manati, PR 00674

NPI: 1104896539

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

19,857

Total Claims

$964K

Drug Cost

2,015

Beneficiaries

$478

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-85%

Opioid rate vs peers

0.3% vs 2.2% avg

-66%

Cost per patient vs peers

$478 vs $1,411 avg

+3%

Brand preference vs peers

11.0% 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

0.3%

Opioid Rate

67

Opioid Claims

$297

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,147 claims · $634K

Generic: 17,390 claims · $322K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban84$75K
Rivaroxaban70$69K
Insulin Glargine,hum.Rec.Anlog167$63K
Levothyroxine Sodium416$46K
Insulin Nph Hum/Reg Insulin Hm136$38K
Dapagliflozin Propanediol28$34K
Insulin Nph Human Isophane93$26K
Insulin Lispro65$25K
Sitagliptin Phosphate20$22K
Empagliflozin17$22K
Sitagliptin Phos/Metformin Hcl23$22K
Atorvastatin Calcium1,431$21K
Losartan Potassium1,000$21K
Candesartan Cilexetil113$18K
Levothyroxine Sodium808$18K

Prescribing Profile

160

Unique Drugs

$223K

IRA Negotiated Drugs

21.0

Anomaly Score

Patient Profile

75

Avg Age

60%

Female

2.19

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