⚠️

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 →

Jose SantosM.D.

General Practice · Gurabo, PR 00778

NPI: 1164404489

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26

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

25,747

Total Claims

$1.4M

Drug Cost

656

Beneficiaries

$2,196

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 7,389 General Practice providers

-84%

Opioid rate vs peers

0.4% vs 2.5% avg

+95%

Cost per patient vs peers

$2,196 vs $1,128 avg

+61%

Brand preference vs peers

13.5% 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

0.4%

Opioid Rate

103

Opioid Claims

$743

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 3,397 claims · $1.2M

Generic: 21,720 claims · $229K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog262$127K
Dapagliflozin Propanediol182$121K
Empagliflozin140$100K
Apixaban169$97K
Rivaroxaban122$91K
Insulin Nph Hum/Reg Insulin Hm196$70K
Sitagliptin Phos/Metformin Hcl73$46K
Levothyroxine Sodium733$42K
Sitagliptin Phosphate43$35K
Linagliptin60$34K
Insulin Glargine,hum.Rec.Anlog70$29K
Sitagliptin Phos/Metformin Hcl56$28K
Insulin Lispro68$27K
Insulin Regular, Human69$21K
Empaglifloz/Linaglip/Metformin30$20K

Prescribing Profile

185

Unique Drugs

$457K

IRA Negotiated Drugs

$11K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

72

Avg Age

56%

Female

1.79

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