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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.

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Noel LezamaMD

General Practice · Hialeah Gardens, FL 33016

NPI: 1275693137

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9

🟢 Low

Risk Flags

Elevated antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

20,769

Total Claims

$1.5M

Drug Cost

1,003

Beneficiaries

$1,476

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+5
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 7,389 General Practice providers

+31%

Cost per patient vs peers

$1,476 vs $1,128 avg

+21%

Brand preference vs peers

10.2% vs 8.4% avg

Brand vs Generic

90% generic

Brand: 2,089 claims · $1.1M

Generic: 18,402 claims · $317K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phosphate125$139K
Apixaban177$123K
Budesonide/Formoterol Fumarate139$65K
Mirabegron66$60K
Linaclotide97$56K
Sacubitril/Valsartan29$52K
Insulin Glargine,hum.Rec.Anlog124$41K
Rivaroxaban43$38K
Dulaglutide27$37K
Insulin Detemir64$34K
Sitagliptin Phos/Metformin Hcl30$32K
Insulin Glargine,hum.Rec.Anlog55$28K
Semaglutide25$27K
Linagliptin14$24K
Icosapent Ethyl65$22K

Prescribing Profile

182

Unique Drugs

$389K

IRA Negotiated Drugs

$64K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

75

Avg Age

62%

Female

2.05

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