⚠️

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 →

Cirilo GonzalezMD

Internal Medicine · Miami, FL 33135

NPI: 1164415824

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

23,174

Total Claims

$939K

Drug Cost

1,517

Beneficiaries

$619

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-46%

Opioid rate vs peers

1.2% vs 2.2% avg

-56%

Cost per patient vs peers

$619 vs $1,411 avg

+21%

Brand preference vs peers

12.8% 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

1.2%

Opioid Rate

282

Opioid Claims

$1,378

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,960 claims · $855K

Generic: 20,100 claims · $82K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rivaroxaban451$225K
Apixaban155$88K
Empagliflozin/Linagliptin42$42K
Linagliptin54$42K
Alogliptin Benzoate141$36K
Sacubitril/Valsartan46$35K
Fluticasone Propion/Salmeterol73$28K
Empagliflozin31$28K
Dulaglutide45$25K
Varicella-Zoster Ge/As01b/Pf124$23K
Fluticasone Propion/Salmeterol195$14K
Insulin Glargine-Yfgn30$14K
Budesonide/Formoterol Fumarate36$14K
Insulin Glargine-Yfgn60$14K
Empaglifloz/Linaglip/Metformin11$13K

Prescribing Profile

196

Unique Drugs

$381K

IRA Negotiated Drugs

$25K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

79

Avg Age

54%

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