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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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David Colon-GolderosMD

General Practice · Rio Grande, PR 745

NPI: 1114926342

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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

17,912

Total Claims

$1.4M

Drug Cost

672

Beneficiaries

$2,055

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. 7,389 General Practice providers

-95%

Opioid rate vs peers

0.1% vs 2.5% avg

+82%

Cost per patient vs peers

$2,055 vs $1,128 avg

+54%

Brand preference vs peers

12.9% vs 8.4% avg

Opioid Prescribing

0.1%

Opioid Rate

21

Opioid Claims

$120

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,279 claims · $1.1M

Generic: 15,342 claims · $309K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog213$120K
Dapagliflozin Propanediol108$100K
Apixaban82$76K
Sitagliptin Phos/Metformin Hcl68$67K
Sitagliptin Phosphate45$52K
Rivaroxaban40$50K
Levothyroxine Sodium342$39K
Insulin Glargine/Lixisenatide43$38K
Empaglifloz/Linaglip/Metformin42$30K
Empagliflozin33$26K
Candesartan Cilexetil193$26K
Insulin Nph Hum/Reg Insulin Hm50$26K
Empagliflozin/Linagliptin24$25K
Insulin Lispro33$24K
Insulin Glargine,hum.Rec.Anlog45$21K

Prescribing Profile

181

Unique Drugs

$324K

IRA Negotiated Drugs

15.0

Anomaly Score

Patient Profile

73

Avg Age

54%

Female

1.91

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