⚠️

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 →

Carmen LopezM.D

General Practice · Rio Grande, PR 00745

NPI: 1255314746

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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

18,224

Total Claims

$1.1M

Drug Cost

916

Beneficiaries

$1,245

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. 7,389 General Practice providers

-70%

Opioid rate vs peers

0.8% vs 2.5% avg

+10%

Cost per patient vs peers

$1,245 vs $1,128 avg

+59%

Brand preference vs peers

13.4% 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

0.8%

Opioid Rate

137

Opioid Claims

$720

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,398 claims · $859K

Generic: 15,520 claims · $273K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog293$104K
Empagliflozin/Linagliptin112$75K
Apixaban121$73K
Sitagliptin Phos/Metformin Hcl98$52K
Sitagliptin Phosphate80$47K
Dapagliflozin Propanediol69$45K
Levothyroxine Sodium384$44K
Empaglifloz/Linaglip/Metformin66$41K
Rivaroxaban42$34K
Empagliflozin47$31K
Linagliptin/Metformin Hcl46$30K
Insulin Lispro92$29K
Linagliptin45$25K
Empagliflozin/Metformin Hcl34$21K
Candesartan Cilexetil134$21K

Prescribing Profile

175

Unique Drugs

$240K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

73

Avg Age

64%

Female

2.22

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