⚠️

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 →

Lorenzo Ross RiveraM.D.

General Practice · Guayama, PR 00784

NPI: 1154364107

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15

🟡 Moderate

Risk Flags

Opioid + benzodiazepine co-prescriberExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

23,137

Total Claims

$1.2M

Drug Cost

460

Beneficiaries

$2,708

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 7,389 General Practice providers

-68%

Opioid rate vs peers

0.8% vs 2.5% avg

+140%

Cost per patient vs peers

$2,708 vs $1,128 avg

+78%

Brand preference vs peers

15.0% 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

0.8%

Opioid Rate

181

Opioid Claims

$805

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 3,412 claims · $1.0M

Generic: 19,374 claims · $213K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Linagliptin/Metformin Hcl163$109K
Insulin Glargine,hum.Rec.Anlog203$90K
Empagliflozin84$71K
Sitagliptin Phos/Metformin Hcl86$69K
Levothyroxine Sodium1,018$65K
Rivaroxaban79$60K
Apixaban80$58K
Insulin Lispro68$52K
Linagliptin49$42K
Insulin Nph Hum/Reg Insulin Hm88$29K
Dapagliflozin Propanediol16$20K
Sitagliptin Phosphate19$18K
Fluticasone Propion/Salmeterol46$18K
Linagliptin/Metformin Hcl17$18K
Dulaglutide20$18K

Prescribing Profile

171

Unique Drugs

$227K

IRA Negotiated Drugs

$18K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

71

Avg Age

56%

Female

1.37

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