⚠️

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 →

Jose Rosales CarrazanaFNP

Nurse Practitioner · North Miami, FL 33161

NPI: 1336740448

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21

🟡 Moderate

ML Fraud Detection Score: 93%

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

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

Risk indicators are statistical patterns, not allegations. Learn more

21,705

Total Claims

$570K

Drug Cost

577

Beneficiaries

$987

Cost/Patient

Risk Score Breakdown 21/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 218,535 Nurse Practitioner providers

-85%

Opioid rate vs peers

0.6% vs 3.8% avg

-16%

Cost per patient vs peers

$987 vs $1,174 avg

-28%

Brand preference vs peers

6.4% vs 8.9% 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

🤖

ML fraud detection score of 93% indicates prescribing patterns with significant similarity to confirmed fraud cases. 19 out of 20 decision trees flagged this provider.

⚠️

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

0.6%

Opioid Rate

121

Opioid Claims

$508

Opioid Cost

Long-Acting Rate

Brand vs Generic

94% generic

Brand: 1,356 claims · $280K

Generic: 19,971 claims · $267K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Albuterol Sulfate671$36K
Insulin Glargine,hum.Rec.Anlog38$21K
Pen Needle, Diabetic274$18K
Atorvastatin Calcium1,789$14K
Mirabegron32$14K
Gabapentin1,136$14K
Apixaban15$13K
Budesonide/Formoterol Fumarate28$11K
Cyclosporine17$11K
Levothyroxine Sodium403$10K
Sitagliptin Phosphate17$9,063
Sitagliptin Phos/Metformin Hcl17$8,917
Fluticasone Propion/Salmeterol28$8,105
Clobetasol Propionate62$7,920
Linaclotide16$7,901

Prescribing Profile

151

Unique Drugs

$26K

IRA Negotiated Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

58%

Female

2.00

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