⚠️

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 Planell DosalM.D

General Practice · Lares, PR 00669

NPI: 1356667786

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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

31,533

Total Claims

$1.5M

Drug Cost

1,186

Beneficiaries

$1,236

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

-77%

Opioid rate vs peers

0.6% vs 2.5% avg

+10%

Cost per patient vs peers

$1,236 vs $1,128 avg

+16%

Brand preference vs peers

9.8% 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

0.6%

Opioid Rate

177

Opioid Claims

$964

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 3,036 claims · $1.1M

Generic: 28,064 claims · $380K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Nph Hum/Reg Insulin Hm332$144K
Apixaban90$90K
Insulin Glargine,hum.Rec.Anlog171$80K
Sitagliptin Phosphate58$69K
Levothyroxine Sodium523$57K
Sitagliptin Phos/Metformin Hcl41$57K
Dapagliflozin Propanediol35$51K
Linagliptin/Metformin Hcl46$51K
Rivaroxaban41$43K
Empagliflozin23$31K
Insulin Nph Human Isophane73$23K
Insulin Glargine,hum.Rec.Anlog26$21K
Insulin Lispro42$20K
Ticagrelor16$20K
Linagliptin13$19K

Prescribing Profile

216

Unique Drugs

$284K

IRA Negotiated Drugs

$12K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

69

Avg Age

48%

Female

1.77

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