⚠️

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 Gonzalez-RosarioM.D.

Internal Medicine · Rio Piedras, PR 921

NPI: 1144427758

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14

🟢 Low

Risk Flags

High brand-name preferenceOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

17,163

Total Claims

$3.3M

Drug Cost

1,021

Beneficiaries

$3,202

Cost/Patient

Risk Score Breakdown 14/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Brand-name preference+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-90%

Opioid rate vs peers

0.2% vs 2.2% avg

+127%

Cost per patient vs peers

$3,202 vs $1,411 avg

+304%

Brand preference vs peers

42.9% 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

0.2%

Opioid Rate

38

Opioid Claims

$193

Opioid Cost

Long-Acting Rate

Brand vs Generic

57% generic

Brand: 7,337 claims · $3.1M

Generic: 9,748 claims · $160K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin477$373K
Dulaglutide329$344K
Sitagliptin Phosphate425$298K
Sitagliptin Phos/Metformin Hcl398$234K
Empagliflozin/Metformin Hcl301$199K
Dapagliflozin Propanediol288$188K
Insulin Glargine,hum.Rec.Anlog371$179K
Levothyroxine Sodium2,604$152K
Semaglutide138$143K
Insulin Lispro265$124K
Linagliptin185$120K
Insulin Glargine,hum.Rec.Anlog203$95K
Sitagliptin Phos/Metformin Hcl92$72K
Empaglifloz/Linaglip/Metformin101$70K
Insulin Lispro104$55K

Prescribing Profile

130

Unique Drugs

$887K

IRA Negotiated Drugs

$509K

GLP-1 Drugs

14.0

Anomaly Score

Patient Profile

71

Avg Age

69%

Female

1.89

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