⚠️

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 →

Raul RiveraMD

Internal Medicine · Pasadena, TX 77504

NPI: 1205853843

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18

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

21,377

Total Claims

$2.6M

Drug Cost

935

Beneficiaries

$2,834

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-6%

Opioid rate vs peers

2.1% vs 2.2% avg

+101%

Cost per patient vs peers

$2,834 vs $1,411 avg

+9%

Brand preference vs peers

11.6% 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

2.1%

Opioid Rate

449

Opioid Claims

$3,525

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,443 claims · $2.0M

Generic: 18,656 claims · $611K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide81$160K
Apixaban110$130K
Empagliflozin83$118K
Sitagliptin Phosphate78$100K
Dulaglutide48$96K
Fluticasone/Umeclidin/Vilanter59$85K
Linaclotide68$82K
Mirabegron56$64K
Insulin Detemir88$64K
Insulin Glargine,hum.Rec.Anlog81$61K
Umeclidinium Brm/Vilanterol Tr63$61K
Dapagliflozin Propanediol39$60K
Insulin Aspart42$58K
Sacubitril/Valsartan31$55K
Insulin Aspart Prot/Insuln Asp22$48K

Prescribing Profile

185

Unique Drugs

$577K

IRA Negotiated Drugs

$280K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

72

Avg Age

51%

Female

1.51

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