⚠️

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 →

Orlando Rodriguez CalesMD

General Practice · Penuelas, PR 00624

NPI: 1124001474

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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

19,022

Total Claims

$746K

Drug Cost

485

Beneficiaries

$1,539

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. 7,389 General Practice providers

-96%

Opioid rate vs peers

0.1% vs 2.5% avg

+36%

Cost per patient vs peers

$1,539 vs $1,128 avg

+42%

Brand preference vs peers

11.9% 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

0.1%

Opioid Rate

21

Opioid Claims

$179

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,215 claims · $582K

Generic: 16,346 claims · $153K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog181$72K
Insulin Lispro99$47K
Insulin Nph Hum/Reg Insulin Hm128$42K
Apixaban72$42K
Rivaroxaban66$34K
Sitagliptin Phosphate49$32K
Oxcarbazepine12$27K
Linagliptin34$21K
Levetiracetam12$21K
Levothyroxine Sodium353$19K
Ticagrelor41$17K
Silver Sulfadiazine286$14K
Lacosamide12$14K
Dapagliflozin Propanediol20$13K
Sitagliptin Phos/Metformin Hcl18$11K

Prescribing Profile

160

Unique Drugs

$127K

IRA Negotiated Drugs

26.0

Anomaly Score

Patient Profile

81

Avg Age

64%

Female

2.72

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