⚠️

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 →

David CastilloM.D.

Family Practice · Tallahassee, FL 32308

NPI: 1114286267

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26

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

9,067

Total Claims

$249K

Drug Cost

286

Beneficiaries

$871

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-83%

Opioid rate vs peers

0.4% vs 2.6% avg

-18%

Cost per patient vs peers

$871 vs $1,068 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

0.4%

Opioid Rate

40

Opioid Claims

$444

Opioid Cost

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 7,836 claims · $73K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban275$53K
Dapagliflozin Propanediol101$19K
Sacubitril/Valsartan73$18K
Linagliptin60$8,870
Memantine Hcl/Donepezil Hcl50$7,211
Lipase/Protease/Amylase12$5,413
Rsvpref3 Antigen/As01e/Pf17$5,072
Lacosamide24$3,886
Valsartan385$3,585
Ertapenem Sodium14$3,400
Pravastatin Sodium390$3,256
Potassium Chloride225$2,616
Levothyroxine Sodium412$2,558
Rivaroxaban12$2,441
Celecoxib49$2,293

Prescribing Profile

91

Unique Drugs

$94K

IRA Negotiated Drugs

26.0

Anomaly Score

Patient Profile

76

Avg Age

64%

Female

2.54

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