⚠️

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 →

Rafael Rivera-ColonM.D.

Emergency Medicine · Caguas, PR 725

NPI: 1134116668

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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

14,381

Total Claims

$856K

Drug Cost

542

Beneficiaries

$1,579

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. 44,021 Emergency Medicine providers

-97%

Opioid rate vs peers

0.3% vs 9.4% avg

+733%

Brand preference vs peers

12.4% vs 1.5% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

⚠️ 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

45

Opioid Claims

$203

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,761 claims · $628K

Generic: 12,490 claims · $225K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban132$102K
Dapagliflozin Propanediol85$69K
Empagliflozin56$57K
Levothyroxine Sodium623$56K
Rivaroxaban58$43K
Sitagliptin Phos/Metformin Hcl38$31K
Rivastigmine118$23K
Insulin Glargine,hum.Rec.Anlog44$23K
Sitagliptin Phosphate21$22K
Budesonide/Formoterol Fumarate41$18K
Insulin Glargine,hum.Rec.Anlog37$18K
Linagliptin18$18K
Empagliflozin/Metformin Hcl11$16K
Diclofenac Potassium171$11K
Losartan Potassium640$9,743

Prescribing Profile

163

Unique Drugs

$293K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

77

Avg Age

59%

Female

1.67

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