⚠️

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 →

Gretchen Ortiz SanchezMD

General Practice · Yauco, PR 698

NPI: 1114948742

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

10,476

Total Claims

$740K

Drug Cost

381

Beneficiaries

$1,943

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 7,389 General Practice providers

-88%

Opioid rate vs peers

0.3% vs 2.5% avg

+72%

Cost per patient vs peers

$1,943 vs $1,128 avg

+89%

Brand preference vs peers

15.9% 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

0.3%

Opioid Rate

32

Opioid Claims

$280

Opioid Cost

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 1,635 claims · $621K

Generic: 8,640 claims · $113K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog111$64K
Linagliptin/Metformin Hcl72$63K
Levothyroxine Sodium612$55K
Linagliptin38$50K
Insulin Lispro80$48K
Rivaroxaban44$42K
Linagliptin/Metformin Hcl34$35K
Insulin Lispro Protamin/Lispro45$29K
Insulin Glargine,hum.Rec.Anlog49$24K
Apixaban30$20K
Ticagrelor16$18K
Sitagliptin Phos/Metformin Hcl18$15K
Insulin Lispro27$14K
Dulaglutide11$11K
Insulin Nph Hum/Reg Insulin Hm29$9,617

Prescribing Profile

131

Unique Drugs

$70K

IRA Negotiated Drugs

$11K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

71

Avg Age

60%

Female

2.12

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