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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 →

Carlos Martinez RiveraMD

Endocrinology · Mayaguez, PR 00680

NPI: 1356330310

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3

🟢 Low

Risk Flags

High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

35,084

Total Claims

$5.8M

Drug Cost

1,846

Beneficiaries

$3,159

Cost/Patient

Risk Score Breakdown 3/100

Low (0)Moderate (15)Elevated (30)High (50+)
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 6,382 Endocrinology providers

-20%

Cost per patient vs peers

$3,159 vs $3,933 avg

-24%

Brand preference vs peers

38.7% vs 51.2% avg

Brand vs Generic

61% generic

Brand: 13,107 claims · $5.4M

Generic: 20,742 claims · $365K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Lispro818$653K
Dapagliflozin Propanediol648$510K
Insulin Glargine,hum.Rec.Anlog715$370K
Levothyroxine Sodium4,705$355K
Insulin Lispro559$339K
Insulin Glargine,hum.Rec.Anlog361$305K
Dulaglutide298$295K
Insulin Glargine/Lixisenatide301$292K
Insulin Glargine,hum.Rec.Anlog585$253K
Insulin Lispro357$238K
Empagliflozin233$181K
Linagliptin197$130K
Dapaglifloz Propaned/Metformin160$126K
Insulin Regular, Human56$107K
Insulin Lispro Protamin/Lispro136$88K

Prescribing Profile

112

Unique Drugs

$806K

IRA Negotiated Drugs

$307K

GLP-1 Drugs

3.0

Anomaly Score

Patient Profile

72

Avg Age

69%

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