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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 →

Fernando Ortiz MaldonadoM.D.

Internal Medicine · Juncos, PR 00777

NPI: 1255387445

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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

20,723

Total Claims

$1.7M

Drug Cost

885

Beneficiaries

$1,948

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

-87%

Opioid rate vs peers

0.3% vs 2.2% avg

+38%

Cost per patient vs peers

$1,948 vs $1,411 avg

+23%

Brand preference vs peers

13.1% 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

0.3%

Opioid Rate

62

Opioid Claims

$413

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,658 claims · $1.3M

Generic: 17,630 claims · $393K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol229$208K
Insulin Glargine,hum.Rec.Anlog340$189K
Empagliflozin111$129K
Apixaban104$110K
Sitagliptin Phos/Metformin Hcl60$66K
Insulin Lispro116$61K
Levothyroxine Sodium548$59K
Rivaroxaban58$51K
Sitagliptin Phosphate40$47K
Insulin Glargine,hum.Rec.Anlog51$31K
Atorvastatin Calcium1,340$24K
Insulin Nph Human Isophane71$21K
Ticagrelor17$20K
Insulin Lispro20$18K
Fenofibrate355$16K

Prescribing Profile

171

Unique Drugs

$550K

IRA Negotiated Drugs

$14K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

71

Avg Age

51%

Female

1.49

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