⚠️

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 →

Carlos GilM.D

General Practice · Barceloneta, PR 00617

NPI: 1154314425

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

24,095

Total Claims

$1.2M

Drug Cost

818

Beneficiaries

$1,519

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. 7,389 General Practice providers

-54%

Opioid rate vs peers

1.1% vs 2.5% avg

+35%

Cost per patient vs peers

$1,519 vs $1,128 avg

+65%

Brand preference vs peers

13.9% vs 8.4% 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

1.1%

Opioid Rate

275

Opioid Claims

$2,285

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 3,300 claims · $937K

Generic: 20,519 claims · $297K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog191$73K
Levothyroxine Sodium1,045$70K
Apixaban91$59K
Empaglifloz/Linaglip/Metformin79$49K
Empagliflozin79$47K
Linagliptin68$41K
Sitagliptin Phos/Metformin Hcl55$33K
Dulaglutide31$33K
Rivaroxaban57$32K
Candesartan/Hydrochlorothiazid151$29K
Dapagliflozin Propanediol40$29K
Linagliptin/Metformin Hcl49$27K
Insulin Glargine,hum.Rec.Anlog33$27K
Insulin Lispro24$27K
Budesonide/Formoterol Fumarate53$25K

Prescribing Profile

215

Unique Drugs

$189K

IRA Negotiated Drugs

$33K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

70

Avg Age

49%

Female

1.73

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