⚠️

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 →

Hector ToroMD

Family Practice · Las Piedras, PR 00771

NPI: 1114033990

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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

20,596

Total Claims

$1.6M

Drug Cost

778

Beneficiaries

$2,113

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. 106,889 Family Practice providers

-73%

Opioid rate vs peers

0.7% vs 2.6% avg

+98%

Cost per patient vs peers

$2,113 vs $1,068 avg

+29%

Brand preference vs peers

11.6% 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

0.7%

Opioid Rate

144

Opioid Claims

$763

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,376 claims · $1.2M

Generic: 18,026 claims · $465K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide100$160K
Sitagliptin Phosphate113$142K
Dapagliflozin Propanediol83$102K
Levothyroxine Sodium834$89K
Apixaban103$78K
Rivaroxaban67$64K
Insulin Glargine,hum.Rec.Anlog80$58K
Candesartan/Hydrochlorothiazid199$43K
Insulin Nph Human Isophane90$40K
Sitagliptin Phos/Metformin Hcl39$39K
Sitagliptin Phos/Metformin Hcl31$35K
Linaclotide52$35K
Budesonide/Formoterol Fumarate53$32K
Insulin Glargine,hum.Rec.Anlog33$28K
Candesartan Cilexetil127$21K

Prescribing Profile

171

Unique Drugs

$406K

IRA Negotiated Drugs

$160K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

68

Avg Age

54%

Female

1.86

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