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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.

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Milciades Mercedes MaldonadoMD

Internal Medicine · Guaynabo, PR 00969

NPI: 1366435000

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3

🟢 Low

Risk Flags

High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

18,242

Total Claims

$1.1M

Drug Cost

820

Beneficiaries

$1,400

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. 110,156 Internal Medicine providers

-1%

Cost per patient vs peers

$1,400 vs $1,411 avg

+32%

Brand preference vs peers

14.0% vs 10.6% avg

Brand vs Generic

86% generic

Brand: 2,535 claims · $908K

Generic: 15,549 claims · $234K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog181$97K
Apixaban124$86K
Rivaroxaban120$84K
Dapagliflozin Propanediol87$83K
Sitagliptin Phosphate84$69K
Levothyroxine Sodium770$47K
Empagliflozin48$46K
Linagliptin/Metformin Hcl32$38K
Sitagliptin Phos/Metformin Hcl27$35K
Empaglifloz/Linaglip/Metformin34$29K
Budesonide/Formoterol Fumarate71$26K
Insulin Lispro38$23K
Sitagliptin Phos/Metformin Hcl25$22K
Insulin Glargine,hum.Rec.Anlog46$21K
Ticagrelor45$20K

Prescribing Profile

147

Unique Drugs

$380K

IRA Negotiated Drugs

3.0

Anomaly Score

Patient Profile

74

Avg Age

64%

Female

1.72

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