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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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Miguel CruzMD

Family Practice · Hialeah, FL 33016

NPI: 1447678727

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12

🟢 Low

Risk Flags

High antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

22,702

Total Claims

$921K

Drug Cost

1,294

Beneficiaries

$712

Cost/Patient

Risk Score Breakdown 12/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-51%

Opioid rate vs peers

1.3% vs 2.6% avg

-33%

Cost per patient vs peers

$712 vs $1,068 avg

+32%

Brand preference vs peers

11.9% vs 9.0% avg

Opioid Prescribing

1.3%

Opioid Rate

285

Opioid Claims

$340

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,667 claims · $836K

Generic: 19,827 claims · $83K

Patient Profile

79

Avg Age

51%

Female

2.06

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