⚠️

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 →

Ricardo Birriel VegaMD

General Practice · Humacao, PR 00791

NPI: 1225595903

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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

20,672

Total Claims

$1.5M

Drug Cost

879

Beneficiaries

$1,677

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. 7,389 General Practice providers

-89%

Opioid rate vs peers

0.3% vs 2.5% avg

+49%

Cost per patient vs peers

$1,677 vs $1,128 avg

+1%

Brand preference vs peers

8.5% 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

0.3%

Opioid Rate

55

Opioid Claims

$347

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 1,744 claims · $1.1M

Generic: 18,796 claims · $359K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin96$147K
Dapagliflozin Propanediol95$112K
Sitagliptin Phosphate56$80K
Rivaroxaban54$78K
Insulin Glargine,hum.Rec.Anlog92$73K
Dulaglutide49$64K
Apixaban44$64K
Empagliflozin/Metformin Hcl45$61K
Sitagliptin Phos/Metformin Hcl46$59K
Levothyroxine Sodium370$49K
Sitagliptin Phos/Metformin Hcl35$48K
Omega-3 Acid Ethyl Esters394$29K
Ticagrelor18$22K
Insulin Lispro16$17K
Atorvastatin Calcium926$15K

Prescribing Profile

167

Unique Drugs

$481K

IRA Negotiated Drugs

$77K

GLP-1 Drugs

18.0

Anomaly Score

Patient Profile

69

Avg Age

53%

Female

1.55

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