⚠️

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 →

Mario Maldonado RamirezMD

Internal Medicine · Corozal, PR 00783

NPI: 1144204785

Share:

24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

23,936

Total Claims

$3.0M

Drug Cost

1,032

Beneficiaries

$2,918

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

-63%

Opioid rate vs peers

0.8% vs 2.2% avg

+107%

Cost per patient vs peers

$2,918 vs $1,411 avg

+58%

Brand preference vs peers

16.8% 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

0.8%

Opioid Rate

196

Opioid Claims

$1,500

Opioid Cost

Long-Acting Rate

Brand vs Generic

83% generic

Brand: 3,968 claims · $2.5M

Generic: 19,649 claims · $494K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol295$358K
Sitagliptin Phos/Metformin Hcl216$311K
Sitagliptin Phosphate134$202K
Empagliflozin142$196K
Empagliflozin/Metformin Hcl125$155K
Levothyroxine Sodium1,187$150K
Apixaban101$147K
Insulin Glargine,hum.Rec.Anlog211$139K
Linaclotide93$94K
Rivaroxaban55$81K
Empaglifloz/Linaglip/Metformin56$61K
Insulin Lispro88$60K
Insulin Nph Hum/Reg Insulin Hm126$53K
Lipase/Protease/Amylase26$53K
Candesartan/Hydrochlorothiazid202$51K

Prescribing Profile

188

Unique Drugs

$984K

IRA Negotiated Drugs

$48K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

72

Avg Age

58%

Female

1.54

Avg Risk Score

Explore More

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