⚠️

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 →

Luis Forti IsalesM.D.

Internal Medicine · Bayamon, PR 00960

NPI: 1205923505

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

26,094

Total Claims

$2.8M

Drug Cost

1,128

Beneficiaries

$2,518

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-89%

Opioid rate vs peers

0.2% vs 2.2% avg

+78%

Cost per patient vs peers

$2,518 vs $1,411 avg

+55%

Brand preference vs peers

16.5% 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

63

Opioid Claims

$553

Opioid Cost

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 4,267 claims · $2.3M

Generic: 21,649 claims · $495K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol236$223K
Rivaroxaban214$196K
Dulaglutide156$195K
Dapaglifloz Propaned/Metformin144$154K
Apixaban131$140K
Empagliflozin108$121K
Levothyroxine Sodium1,166$98K
Insulin Glargine,hum.Rec.Anlog212$82K
Empaglifloz/Linaglip/Metformin68$64K
Empagliflozin/Linagliptin55$56K
Sitagliptin Phos/Metformin Hcl45$50K
Empagliflozin/Metformin Hcl53$40K
Insulin Lispro90$37K
Sitagliptin Phosphate44$35K
Ticagrelor36$33K

Prescribing Profile

195

Unique Drugs

$744K

IRA Negotiated Drugs

$219K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

73

Avg Age

62%

Female

2.05

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