⚠️

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 →

Jorge Cedeno Espaillat

General Practice · Toa Baja, PR 00949

NPI: 1316171168

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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

19,928

Total Claims

$1.1M

Drug Cost

961

Beneficiaries

$1,137

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. 7,389 General Practice providers

-85%

Opioid rate vs peers

0.4% vs 2.5% avg

+1%

Cost per patient vs peers

$1,137 vs $1,128 avg

-2%

Brand preference vs peers

8.2% 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

0.4%

Opioid Rate

76

Opioid Claims

$746

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 1,637 claims · $794K

Generic: 18,211 claims · $296K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog186$82K
Rivaroxaban79$74K
Glatiramer Acetate12$69K
Sitagliptin Phosphate37$50K
Apixaban61$47K
Sitagliptin Phos/Metformin Hcl46$45K
Insulin Lispro72$31K
Insulin Lispro24$29K
Darunavir/Cobicistat12$28K
Raltegravir Potassium13$25K
Levothyroxine Sodium191$20K
Empagliflozin13$19K
Insulin Glargine,hum.Rec.Anlog32$18K
Levothyroxine Sodium933$16K
Sitagliptin Phos/Metformin Hcl31$14K

Prescribing Profile

163

Unique Drugs

$190K

IRA Negotiated Drugs

24.0

Anomaly Score

Patient Profile

76

Avg Age

59%

Female

2.26

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