⚠️

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 →

Rafael JuncoM.D.

Internal Medicine · Hialeah, FL 33016

NPI: 1194016378

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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

39,156

Total Claims

$1.3M

Drug Cost

846

Beneficiaries

$1,491

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. 110,156 Internal Medicine providers

-90%

Opioid rate vs peers

0.2% vs 2.2% avg

+6%

Cost per patient vs peers

$1,491 vs $1,411 avg

-35%

Brand preference vs peers

6.9% 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

0.2%

Opioid Rate

92

Opioid Claims

$521

Opioid Cost

Long-Acting Rate

Brand vs Generic

93% generic

Brand: 2,686 claims · $790K

Generic: 36,199 claims · $465K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban266$147K
Sitagliptin Phosphate231$123K
Rivaroxaban161$84K
Sacubitril/Valsartan116$76K
Fluticasone Propion/Salmeterol180$35K
Albuterol Sulfate707$33K
Budesonide/Formoterol Fumarate105$26K
Insulin Glargine-Yfgn210$25K
Ticagrelor54$24K
Empagliflozin38$21K
Linaclotide38$19K
Dabigatran Etexilate Mesylate70$17K
Linagliptin30$15K
Tadalafil361$13K
Atorvastatin Calcium1,603$13K

Prescribing Profile

192

Unique Drugs

$471K

IRA Negotiated Drugs

26.0

Anomaly Score

Patient Profile

76

Avg Age

53%

Female

2.04

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