⚠️

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 →

Jose PadillaMD

Cardiology · San Juan, PR 00921

NPI: 1134235187

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15

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

36,707

Total Claims

$4.0M

Drug Cost

2,318

Beneficiaries

$1,705

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 18,720 Cardiology providers

+12%

Cost per patient vs peers

$1,705 vs $1,524 avg

-3%

Brand preference vs peers

13.2% vs 13.7% 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

0.2%

Opioid Rate

71

Opioid Claims

$792

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 4,843 claims · $3.0M

Generic: 31,810 claims · $976K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sacubitril/Valsartan260$354K
Dapagliflozin Propanediol300$352K
Rivaroxaban314$344K
Empagliflozin259$308K
Evolocumab512$288K
Apixaban202$244K
Semaglutide167$160K
Sitagliptin Phosphate119$140K
Levothyroxine Sodium1,121$140K
Sitagliptin Phos/Metformin Hcl116$138K
Insulin Glargine,hum.Rec.Anlog116$96K
Ambrisentan31$72K
Propafenone Hcl718$53K
Linagliptin38$53K
Candesartan Cilexetil287$52K

Prescribing Profile

174

Unique Drugs

$1.7M

IRA Negotiated Drugs

$171K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

74

Avg Age

61%

Female

1.57

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