⚠️

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 →

Agustin MartinezM.D.

General Practice · Hialeah, FL 33013

NPI: 1194762427

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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

23,278

Total Claims

$1.6M

Drug Cost

591

Beneficiaries

$2,691

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

-94%

Opioid rate vs peers

0.1% vs 2.5% avg

+139%

Cost per patient vs peers

$2,691 vs $1,128 avg

+68%

Brand preference vs peers

14.1% 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

0.1%

Opioid Rate

33

Opioid Claims

$430

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 3,248 claims · $1.0M

Generic: 19,773 claims · $547K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban394$156K
Linaclotide133$72K
Dulaglutide93$65K
Sitagliptin Phosphate120$46K
Abacavir/Dolutegravir/Lamivudi12$44K
Rifaximin12$32K
Lactulose631$29K
Rivaroxaban67$29K
Epoetin Alfa47$29K
Raltegravir Potassium13$26K
Insulin Glargine,hum.Rec.Anlog58$24K
Dextromethorphan Hbr/Quinidine30$23K
Insulin Aspart107$23K
Empagliflozin35$21K
Fenofibrate Nanocrystallized418$18K

Prescribing Profile

231

Unique Drugs

$302K

IRA Negotiated Drugs

$65K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

70

Avg Age

52%

Female

2.48

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