⚠️

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 →

Marcos Parrilla RiosMD

Internal Medicine · San Lorenzo, PR 00754

NPI: 1336125301

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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

20,898

Total Claims

$2.7M

Drug Cost

922

Beneficiaries

$2,925

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. 110,156 Internal Medicine providers

-77%

Opioid rate vs peers

0.5% vs 2.2% avg

+107%

Cost per patient vs peers

$2,925 vs $1,411 avg

+55%

Brand preference vs peers

16.5% 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

0.5%

Opioid Rate

109

Opioid Claims

$997

Opioid Cost

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 3,366 claims · $2.3M

Generic: 17,041 claims · $416K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phos/Metformin Hcl319$373K
Sitagliptin Phosphate201$259K
Insulin Glargine,hum.Rec.Anlog170$126K
Apixaban101$116K
Dapagliflozin Propanediol84$108K
Empagliflozin77$107K
Rivaroxaban84$100K
Levothyroxine Sodium951$98K
Icatibant Acetate16$98K
Dimethyl Fumarate11$95K
Dulaglutide77$76K
Insulin Glargine,hum.Rec.Anlog116$52K
Semaglutide48$46K
Dapaglifloz Propaned/Metformin35$45K
Insulin Lispro Protamin/Lispro55$40K

Prescribing Profile

183

Unique Drugs

$690K

IRA Negotiated Drugs

$122K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

71

Avg Age

58%

Female

1.92

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