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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.

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Jose VergaraARNP

Nurse Practitioner · Hialeah, FL 33014

NPI: 1154617454

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17

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

19,358

Total Claims

$1.2M

Drug Cost

464

Beneficiaries

$2,686

Cost/Patient

Risk Score Breakdown 17/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

+129%

Cost per patient vs peers

$2,686 vs $1,174 avg

+29%

Brand preference vs peers

11.5% vs 8.9% avg

Brand vs Generic

89% generic

Brand: 2,176 claims · $792K

Generic: 16,805 claims · $445K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban236$137K
Linaclotide156$89K
Chlorpromazine Hcl136$69K
Aripiprazole16$46K
Sitagliptin Phosphate67$39K
Budesonide/Formoterol Fumarate85$35K
Dulaglutide33$33K
Sacubitril/Valsartan45$32K
Rivaroxaban52$30K
Icosapent Ethyl80$28K
Linagliptin38$21K
Quetiapine Fumarate1,012$21K
Insulin Detemir65$21K
Collagenase Clostridium Hist.49$20K
Aripiprazole63$20K

Prescribing Profile

187

Unique Drugs

$260K

IRA Negotiated Drugs

$33K

GLP-1 Drugs

17.0

Anomaly Score

Patient Profile

79

Avg Age

68%

Female

2.84

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