⚠️

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 →

Efrain Nazario-YordanMD

Internal Medicine · Mayaguez, PR 00680

NPI: 1275793309

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

18,388

Total Claims

$1.0M

Drug Cost

997

Beneficiaries

$1,051

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-79%

Opioid rate vs peers

0.5% vs 2.2% avg

-25%

Cost per patient vs peers

$1,051 vs $1,411 avg

-5%

Brand preference vs peers

10.1% 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

0.5%

Opioid Rate

87

Opioid Claims

$397

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,845 claims · $723K

Generic: 16,345 claims · $319K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog205$102K
Insulin Nph Hum/Reg Insulin Hm252$98K
Rivaroxaban75$97K
Apixaban43$62K
Sitagliptin Phos/Metformin Hcl33$48K
Dapagliflozin Propanediol34$41K
Insulin Lispro60$37K
Sitagliptin Phosphate22$36K
Levothyroxine Sodium298$33K
Losartan Potassium734$16K
Atorvastatin Calcium1,036$15K
Candesartan Cilexetil77$12K
Metoprolol Succinate448$11K
Irbesartan/Hydrochlorothiazide240$11K
Levothyroxine Sodium460$11K

Prescribing Profile

159

Unique Drugs

$235K

IRA Negotiated Drugs

21.0

Anomaly Score

Patient Profile

74

Avg Age

59%

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