⚠️

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 →

Hector Santos RiveraM.D

Internal Medicine · Cayey, PR 00736

NPI: 1336183532

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26

🟡 Moderate

ML Fraud Detection Score: 95%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

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Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

20,981

Total Claims

$944K

Drug Cost

604

Beneficiaries

$1,563

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. 110,156 Internal Medicine providers

-57%

Opioid rate vs peers

1.0% vs 2.2% avg

+11%

Cost per patient vs peers

$1,563 vs $1,411 avg

+20%

Brand preference vs peers

12.8% 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

🤖

Our machine learning model — trained on 281 confirmed fraud cases — gives this provider a "Very High" fraud-pattern score. All 20 decision trees in our ensemble model agree that this provider's prescribing patterns resemble those of confirmed fraud cases. This is a statistical finding, not an accusation.

⚠️

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

201

Opioid Claims

$1,390

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,672 claims · $755K

Generic: 18,194 claims · $186K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Empagliflozin229$162K
Apixaban146$83K
Rivaroxaban106$72K
Insulin Glargine,hum.Rec.Anlog112$52K
Dapagliflozin Propanediol73$44K
Sitagliptin Phosphate64$39K
Dulaglutide24$28K
Insulin Lispro26$20K
Levothyroxine Sodium355$20K
Insulin Nph Hum/Reg Insulin Hm73$16K
Ticagrelor36$16K
Linagliptin18$15K
Dapaglifloz Propaned/Metformin15$14K
Insulin Lispro Protamin/Lispro31$13K
Sitagliptin Phos/Metformin Hcl33$13K

Prescribing Profile

167

Unique Drugs

$407K

IRA Negotiated Drugs

$28K

GLP-1 Drugs

26.0

Anomaly Score

Patient Profile

72

Avg Age

56%

Female

1.58

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