⚠️

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 →

Hiram Pabon PadillaM.D.

General Practice · Juncos, PR 777

NPI: 1104920305

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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

8,730

Total Claims

$677K

Drug Cost

447

Beneficiaries

$1,514

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. 7,389 General Practice providers

-65%

Opioid rate vs peers

0.9% vs 2.5% avg

+34%

Cost per patient vs peers

$1,514 vs $1,128 avg

+58%

Brand preference vs peers

13.2% vs 8.4% 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

0.9%

Opioid Rate

75

Opioid Claims

$1,198

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 1,148 claims · $533K

Generic: 7,519 claims · $143K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban51$47K
Empaglifloz/Linaglip/Metformin49$41K
Sitagliptin Phosphate35$41K
Linagliptin37$36K
Insulin Glargine,hum.Rec.Anlog52$31K
Empagliflozin40$30K
Levothyroxine Sodium305$26K
Dulaglutide25$24K
Raltegravir Potassium12$23K
Sitagliptin Phos/Metformin Hcl22$23K
Dapagliflozin Propanediol17$22K
Rivaroxaban20$18K
Linagliptin/Metformin Hcl13$16K
Candesartan/Hydrochlorothiazid75$16K
Empagliflozin/Linagliptin16$15K

Prescribing Profile

127

Unique Drugs

$158K

IRA Negotiated Drugs

$24K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

73

Avg Age

61%

Female

1.33

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