⚠️

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 →

Carlos OrracaM.D.

Internal Medicine · Manati, PR 00674

NPI: 1124122452

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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

18,326

Total Claims

$1.3M

Drug Cost

609

Beneficiaries

$2,206

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. 110,156 Internal Medicine providers

-94%

Opioid rate vs peers

0.1% vs 2.2% avg

+56%

Cost per patient vs peers

$2,206 vs $1,411 avg

+42%

Brand preference vs peers

15.1% vs 10.6% 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

23

Opioid Claims

$90

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 2,739 claims · $1.0M

Generic: 15,373 claims · $299K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol101$100K
Insulin Glargine,hum.Rec.Anlog170$90K
Apixaban127$85K
Levothyroxine Sodium742$83K
Insulin Nph Hum/Reg Insulin Hm197$74K
Empagliflozin77$61K
Sitagliptin Phos/Metformin Hcl65$53K
Empagliflozin/Linagliptin51$51K
Rivaroxaban53$40K
Sitagliptin Phosphate54$40K
Empagliflozin/Metformin Hcl19$31K
Insulin Lispro Protamin/Lispro30$27K
Candesartan/Hydrochlorothiazid123$23K
Dulaglutide23$22K
Sitagliptin Phos/Metformin Hcl27$22K

Prescribing Profile

166

Unique Drugs

$337K

IRA Negotiated Drugs

$22K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

72

Avg Age

60%

Female

2.44

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