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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 →

Modesto Tirado SarmientoAPRN

Nurse Practitioner · Miami, FL 33125

NPI: 1134880479

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18

🟡 Moderate

ML Fraud Detection Score: 95%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

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Risk Flags

Elevated antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

8,602

Total Claims

$773K

Drug Cost

427

Beneficiaries

$1,809

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. 218,535 Nurse Practitioner providers

-57%

Opioid rate vs peers

1.6% vs 3.8% avg

+54%

Cost per patient vs peers

$1,809 vs $1,174 avg

+33%

Brand preference vs peers

11.8% vs 8.9% 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

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Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

⚠️

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

1.6%

Opioid Rate

139

Opioid Claims

$969

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,001 claims · $612K

Generic: 7,515 claims · $156K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog75$41K
Empagliflozin22$35K
Apixaban43$30K
Exenatide Microspheres33$28K
Rivaroxaban40$25K
Linagliptin27$25K
Sitagliptin Phosphate17$21K
Budesonide/Formoterol Fumarate40$21K
Semaglutide20$20K
Sacubitril/Valsartan23$19K
Fluticasone/Umeclidin/Vilanter24$17K
Insulin Aspart12$14K
Ticagrelor18$12K
Fluticasone Propion/Salmeterol26$12K
Atorvastatin Calcium563$8,826

Prescribing Profile

143

Unique Drugs

$149K

IRA Negotiated Drugs

$20K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

72

Avg Age

63%

Female

2.13

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