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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 →

Manuel Brignoni RomanMD

Psychiatry · Ponce, PR 00717

NPI: 1427047760

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15

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

27,405

Total Claims

$369K

Drug Cost

978

Beneficiaries

$377

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 21,141 Psychiatry providers

-78%

Cost per patient vs peers

$377 vs $1,696 avg

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 26,792 claims · $274K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Vortioxetine Hydrobromide113$57K
Estazolam714$39K
Clonazepam4,484$29K
Temazepam2,981$26K
Buspirone Hcl2,309$17K
Alprazolam2,014$12K
Clorazepate Dipotassium72$11K
Doxepin Hcl332$11K
Bupropion Hcl704$11K
Lorazepam1,521$10K
Fluoxetine Hcl2,161$9,621
Quetiapine Fumarate12$7,838
Mirtazapine879$7,664
Paroxetine Hcl852$6,962
Duloxetine Hcl24$6,834

Prescribing Profile

45

Unique Drugs

15.0

Anomaly Score

Patient Profile

64

Avg Age

59%

Female

1.82

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