⚠️

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 →

Griselle Gerena RamirezMD

General Practice · San Lorenzo, PR 00754

NPI: 1245280270

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21

🟡 Moderate

ML Fraud Detection Score: 93%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

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Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

18,030

Total Claims

$869K

Drug Cost

319

Beneficiaries

$2,724

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 7,389 General Practice providers

-59%

Opioid rate vs peers

1.0% vs 2.5% avg

+141%

Cost per patient vs peers

$2,724 vs $1,128 avg

+55%

Brand preference vs peers

13.0% 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

🤖

ML fraud detection score of 93% indicates prescribing patterns with significant similarity to confirmed fraud cases. 19 out of 20 decision trees flagged this provider.

⚠️

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

1.0%

Opioid Rate

184

Opioid Claims

$4,262

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,304 claims · $652K

Generic: 15,412 claims · $210K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate113$64K
Sitagliptin Phos/Metformin Hcl76$55K
Insulin Glargine,hum.Rec.Anlog118$50K
Levothyroxine Sodium819$44K
Apixaban60$38K
Fluticasone Propionate113$31K
Insulin Nph Hum/Reg Insulin Hm83$29K
Insulin Lispro42$27K
Rivaroxaban45$26K
Insulin Lispro Protamin/Lispro26$24K
Levetiracetam24$21K
Dapagliflozin Propanediol29$20K
Empagliflozin19$16K
Fluticasone Propion/Salmeterol25$14K
Insulin Glargine,hum.Rec.Anlog20$14K

Prescribing Profile

175

Unique Drugs

$164K

IRA Negotiated Drugs

$12K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

71

Avg Age

56%

Female

2.09

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