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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 →

Roque Nido NylundM.D.

Internal Medicine · Guayama, PR 784

NPI: 1144230269

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3

🟢 Low

Risk Flags

High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

12,364

Total Claims

$1.1M

Drug Cost

545

Beneficiaries

$1,950

Cost/Patient

Risk Score Breakdown 3/100

Low (0)Moderate (15)Elevated (30)High (50+)
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+38%

Cost per patient vs peers

$1,950 vs $1,411 avg

+12%

Brand preference vs peers

11.9% vs 10.6% avg

Brand vs Generic

88% generic

Brand: 1,455 claims · $832K

Generic: 10,768 claims · $221K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog147$130K
Rivaroxaban84$109K
Apixaban90$100K
Sitagliptin Phosphate73$77K
Linagliptin35$42K
Insulin Regular, Human58$34K
Insulin Nph Hum/Reg Insulin Hm40$31K
Omega-3 Acid Ethyl Esters222$27K
Sacubitril/Valsartan13$19K
Dulaglutide15$16K
Ticagrelor12$16K
Gabapentin731$14K
Losartan Potassium618$12K
Insulin Glargine-Yfgn37$12K
Levothyroxine Sodium504$12K

Prescribing Profile

123

Unique Drugs

$306K

IRA Negotiated Drugs

$16K

GLP-1 Drugs

3.0

Anomaly Score

Patient Profile

70

Avg Age

59%

Female

1.83

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