⚠️

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 →

Ramon GerenaMD

General Practice · Toa Baja, PR 00949

NPI: 1427111053

Share:

21

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

19,198

Total Claims

$1.3M

Drug Cost

1,111

Beneficiaries

$1,170

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. 7,389 General Practice providers

-23%

Opioid rate vs peers

1.9% vs 2.5% avg

+4%

Cost per patient vs peers

$1,170 vs $1,128 avg

+62%

Brand preference vs peers

13.6% 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

1.9%

Opioid Rate

364

Opioid Claims

$2,595

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,605 claims · $903K

Generic: 16,517 claims · $393K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog217$108K
Levothyroxine Sodium1,035$82K
Sitagliptin Phos/Metformin Hcl70$71K
Empagliflozin52$70K
Rivaroxaban98$62K
Apixaban97$60K
Insulin Lispro100$57K
Dapagliflozin Propanediol47$46K
Sitagliptin Phosphate36$41K
Dulaglutide34$37K
Diclofenac Potassium572$23K
Linagliptin19$22K
Losartan Potassium728$18K
Mupirocin Calcium35$14K
Tolterodine Tartrate95$13K

Prescribing Profile

177

Unique Drugs

$279K

IRA Negotiated Drugs

$47K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

73

Avg Age

56%

Female

1.83

Avg Risk Score

Explore More

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