⚠️

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 →

Victor Rivera RiestraM.D.

General Practice · Arecibo, PR 612

NPI: 1124268800

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

12,894

Total Claims

$545K

Drug Cost

704

Beneficiaries

$775

Cost/Patient

Risk Score Breakdown 21/100

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

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

-31%

Cost per patient vs peers

$775 vs $1,128 avg

-1%

Brand preference vs peers

8.3% 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

17

Opioid Claims

$180

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 1,066 claims · $371K

Generic: 11,729 claims · $171K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban85$55K
Empagliflozin51$42K
Levothyroxine Sodium282$29K
Insulin Glargine,hum.Rec.Anlog63$28K
Rivaroxaban42$25K
Insulin Nph Hum/Reg Insulin Hm75$20K
Sitagliptin Phosphate26$20K
Dulaglutide15$14K
Sitagliptin Phos/Metformin Hcl16$14K
Insulin Lispro28$13K
Fluticasone/Vilanterol32$13K
Dapagliflozin Propanediol16$13K
Atorvastatin Calcium802$9,252
Insulin Glargine,hum.Rec.Anlog21$8,987
Levothyroxine Sodium446$8,393

Prescribing Profile

150

Unique Drugs

$155K

IRA Negotiated Drugs

$14K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

74

Avg Age

58%

Female

2.04

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