⚠️

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 →

Joaquin Negrette

Internal Medicine · Hialeah, FL 33013

NPI: 1417981911

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

23,804

Total Claims

$909K

Drug Cost

1,296

Beneficiaries

$702

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-30%

Opioid rate vs peers

1.6% vs 2.2% avg

-50%

Cost per patient vs peers

$702 vs $1,411 avg

+10%

Brand preference vs peers

11.7% vs 10.6% 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

1.6%

Opioid Rate

372

Opioid Claims

$827

Opioid Cost

5.1%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,757 claims · $829K

Generic: 20,847 claims · $78K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rivaroxaban509$256K
Apixaban156$89K
Varicella-Zoster Ge/As01b/Pf228$40K
Empagliflozin52$40K
Linagliptin42$40K
Sacubitril/Valsartan43$33K
Insulin Glargine-Yfgn125$32K
Fluticasone Propion/Salmeterol69$30K
Linagliptin/Metformin Hcl16$19K
Empagliflozin/Linagliptin13$15K
Insulin Nph Hum/Reg Insulin Hm57$15K
Tiotropium Br/Olodaterol Hcl43$15K
Alogliptin Benzoate51$13K
Lipase/Protease/Amylase16$9,581
Mirabegron20$9,442

Prescribing Profile

197

Unique Drugs

$433K

IRA Negotiated Drugs

21.0

Anomaly Score

Patient Profile

79

Avg Age

47%

Female

2.03

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