⚠️

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 →

Humberto GarciaMD

Internal Medicine · Miami, FL 33165

NPI: 1306839063

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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

21,897

Total Claims

$889K

Drug Cost

1,772

Beneficiaries

$502

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

-54%

Opioid rate vs peers

1.0% vs 2.2% avg

-64%

Cost per patient vs peers

$502 vs $1,411 avg

+8%

Brand preference vs peers

11.5% 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

1.0%

Opioid Rate

227

Opioid Claims

$316

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,493 claims · $767K

Generic: 19,236 claims · $121K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban316$184K
Rivaroxaban304$158K
Varicella-Zoster Ge/As01b/Pf164$29K
Linagliptin23$23K
Insulin Glargine-Yfgn73$22K
Linaclotide33$19K
Mirabegron40$19K
Lipase/Protease/Amylase21$17K
Empagliflozin25$17K
Sacubitril/Valsartan19$15K
Dulaglutide14$14K
Fluticasone Propion/Salmeterol28$12K
Dabigatran Etexilate Mesylate30$9,884
Budesonide/Formoterol Fumarate19$7,564
Insulin Aspart18$6,998

Prescribing Profile

201

Unique Drugs

$381K

IRA Negotiated Drugs

$14K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

80

Avg Age

55%

Female

2.08

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