⚠️

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 →

Ismael BagueM.D.

General Practice · Arecibo, PR 00612

NPI: 1386603041

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26

🟡 Moderate

ML Fraud Detection Score: 91%

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

19,255

Total Claims

$908K

Drug Cost

521

Beneficiaries

$1,743

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. 7,389 General Practice providers

-90%

Opioid rate vs peers

0.3% vs 2.5% avg

+55%

Cost per patient vs peers

$1,743 vs $1,128 avg

+33%

Brand preference vs peers

11.2% 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

🤖

ML fraud detection score of 91% indicates prescribing patterns with significant similarity to confirmed fraud cases. 18 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

0.3%

Opioid Rate

50

Opioid Claims

$464

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,132 claims · $664K

Generic: 16,980 claims · $241K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Sitagliptin Phos/Metformin Hcl124$85K
Insulin Glargine,hum.Rec.Anlog194$85K
Apixaban139$75K
Dapagliflozin Propanediol82$49K
Levothyroxine Sodium700$45K
Dapaglifloz Propaned/Metformin34$29K
Sitagliptin Phos/Metformin Hcl13$22K
Empagliflozin19$20K
Rivaroxaban32$19K
Sitagliptin Phosphate19$16K
Diclofenac Potassium334$13K
Ticagrelor25$11K
Losartan Potassium881$10K
Empagliflozin/Linagliptin13$7,801
Insulin Nph Hum/Reg Insulin Hm33$7,756

Prescribing Profile

169

Unique Drugs

$179K

IRA Negotiated Drugs

26.0

Anomaly Score

Patient Profile

73

Avg Age

51%

Female

2.21

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