⚠️

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 RodriguezMD

Internal Medicine · Jackson Heights, NY 11372

NPI: 1144298175

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21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

25,113

Total Claims

$5.0M

Drug Cost

1,534

Beneficiaries

$3,274

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-77%

Opioid rate vs peers

0.5% vs 2.2% avg

+132%

Cost per patient vs peers

$3,274 vs $1,411 avg

+71%

Brand preference vs peers

18.2% 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

0.5%

Opioid Rate

129

Opioid Claims

$2,295

Opioid Cost

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 4,435 claims · $4.3M

Generic: 19,928 claims · $658K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin/Metformin Hcl349$485K
Semaglutide312$412K
Dulaglutide156$253K
Sitagliptin Phos/Metformin Hcl161$226K
Dapagliflozin Propanediol132$211K
Linagliptin/Metformin Hcl112$181K
Apixaban119$167K
Empagliflozin108$165K
Finerenone100$163K
Sitagliptin Phosphate73$118K
Sacubitril/Valsartan65$110K
Insulin Glargine,hum.Rec.Anlog189$108K
Memantine Hcl/Donepezil Hcl73$103K
Icosapent Ethyl109$97K
Linaclotide98$92K

Prescribing Profile

198

Unique Drugs

$938K

IRA Negotiated Drugs

$751K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

56%

Female

1.11

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