⚠️

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 →

Alberto SastreMD

General Practice · Ciales, PR 00638

NPI: 1295702504

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26

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

27,864

Total Claims

$1.7M

Drug Cost

612

Beneficiaries

$2,729

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 7,389 General Practice providers

-95%

Opioid rate vs peers

0.1% vs 2.5% avg

+142%

Cost per patient vs peers

$2,729 vs $1,128 avg

+66%

Brand preference vs peers

13.9% 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

0.1%

Opioid Rate

34

Opioid Claims

$231

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 3,829 claims · $1.4M

Generic: 23,622 claims · $267K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dapagliflozin Propanediol221$144K
Dulaglutide88$107K
Budesonide/Formoterol Fumarate210$84K
Sitagliptin Phosphate114$79K
Apixaban110$73K
Sitagliptin Phos/Metformin Hcl106$70K
Tiotropium Br/Olodaterol Hcl137$69K
Empagliflozin81$59K
Insulin Nph Hum/Reg Insulin Hm144$57K
Fluticasone/Umeclidin/Vilanter77$53K
Insulin Glargine,hum.Rec.Anlog111$52K
Levothyroxine Sodium675$43K
Empaglifloz/Linaglip/Metformin57$42K
Insulin Glargine/Lixisenatide48$40K
Empagliflozin/Metformin Hcl44$32K

Prescribing Profile

204

Unique Drugs

$385K

IRA Negotiated Drugs

$121K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

70

Avg Age

50%

Female

1.50

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