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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.

Read our methodology →

Lionel Velez MontijoMD

Internal Medicine · Bayamon, PR 00961

NPI: 1194719542

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21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

26,903

Total Claims

$2.9M

Drug Cost

668

Beneficiaries

$4,371

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-92%

Opioid rate vs peers

0.2% vs 2.2% avg

+210%

Cost per patient vs peers

$4,371 vs $1,411 avg

+85%

Brand preference vs peers

19.6% 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

47

Opioid Claims

$457

Opioid Cost

Long-Acting Rate

Brand vs Generic

80% generic

Brand: 5,216 claims · $2.5M

Generic: 21,363 claims · $417K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin506$396K
Sitagliptin Phos/Metformin Hcl265$210K
Sitagliptin Phosphate257$188K
Empagliflozin/Linagliptin247$175K
Insulin Glargine,hum.Rec.Anlog191$148K
Insulin Lispro131$125K
Sitagliptin Phos/Metformin Hcl182$113K
Levothyroxine Sodium1,580$98K
Apixaban123$84K
Dapagliflozin Propanediol100$76K
Rivaroxaban99$75K
Tiotropium Bromide98$55K
Dulaglutide56$55K
Linaclotide62$34K
Budesonide/Formoterol Fumarate75$30K

Prescribing Profile

191

Unique Drugs

$843K

IRA Negotiated Drugs

$81K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

63%

Female

2.31

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