⚠️

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 →

Virmarie Caban SotoMD

General Practice · Anasco, PR 00610

NPI: 1235143009

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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

29,494

Total Claims

$1.8M

Drug Cost

881

Beneficiaries

$1,989

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

-92%

Opioid rate vs peers

0.2% vs 2.5% avg

+76%

Cost per patient vs peers

$1,989 vs $1,128 avg

+63%

Brand preference vs peers

13.7% 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

0.2%

Opioid Rate

59

Opioid Claims

$254

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 3,987 claims · $1.4M

Generic: 25,083 claims · $319K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol337$207K
Dapaglifloz Propaned/Metformin218$154K
Sitagliptin Phos/Metformin Hcl57$85K
Insulin Glargine,hum.Rec.Anlog221$82K
Dulaglutide84$80K
Apixaban133$70K
Semaglutide52$56K
Levothyroxine Sodium1,027$55K
Insulin Lispro110$42K
Insulin Nph Human Isophane126$41K
Empagliflozin37$40K
Budesonide/Formoterol Fumarate98$38K
Insulin Nph Hum/Reg Insulin Hm115$37K
Insulin Regular, Human127$32K
Sitagliptin Phos/Metformin Hcl29$29K

Prescribing Profile

209

Unique Drugs

$355K

IRA Negotiated Drugs

$137K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

73

Avg Age

61%

Female

1.85

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