⚠️

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 →

Jorge Ruiz DiazM.D.

Internal Medicine · Adjuntas, PR 00601

NPI: 1215950985

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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

31,699

Total Claims

$1.7M

Drug Cost

1,079

Beneficiaries

$1,565

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

-59%

Opioid rate vs peers

0.9% vs 2.2% avg

+11%

Cost per patient vs peers

$1,565 vs $1,411 avg

+18%

Brand preference vs peers

12.6% 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

0.9%

Opioid Rate

294

Opioid Claims

$1,769

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 3,915 claims · $1.4M

Generic: 27,199 claims · $307K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol170$202K
Insulin Glargine,hum.Rec.Anlog304$129K
Sitagliptin Phos/Metformin Hcl67$88K
Apixaban146$78K
Insulin Nph Hum/Reg Insulin Hm189$69K
Linagliptin46$68K
Rivaroxaban80$50K
Insulin Lispro98$49K
Levothyroxine Sodium800$39K
Sitagliptin Phosphate23$36K
Dolutegravir Sodium/Lamivudine12$34K
Ticagrelor63$32K
Linagliptin/Metformin Hcl22$32K
Empagliflozin24$27K
Insulin Aspart20$24K

Prescribing Profile

218

Unique Drugs

$417K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

74

Avg Age

56%

Female

2.17

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