⚠️

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 →

Virgilio SanchezMD

Family Practice · Miami, FL 33135

NPI: 1124065693

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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

14,020

Total Claims

$920K

Drug Cost

734

Beneficiaries

$1,254

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

-49%

Opioid rate vs peers

1.3% vs 2.6% avg

+17%

Cost per patient vs peers

$1,254 vs $1,068 avg

+34%

Brand preference vs peers

12.1% 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

1.3%

Opioid Rate

185

Opioid Claims

$2,430

Opioid Cost

7.0%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,658 claims · $791K

Generic: 12,055 claims · $126K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban290$225K
Sitagliptin Phosphate89$94K
Rivaroxaban83$52K
Dulaglutide43$50K
Linagliptin66$42K
Sacubitril/Valsartan37$31K
Budesonide/Formoterol Fumarate35$19K
Insulin Aspart28$18K
Insulin Glargine,hum.Rec.Anlog42$18K
Liraglutide14$17K
Fluticasone/Umeclidin/Vilanter22$16K
Tiotropium Bromide22$12K
Brimonidine Tartrate/Timolol31$11K
Insulin Aspart29$9,607
Bimatoprost28$8,216

Prescribing Profile

165

Unique Drugs

$431K

IRA Negotiated Drugs

$67K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

78

Avg Age

58%

Female

2.06

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