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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 →

Ivette Alfonso SilvaMD

Internal Medicine · Hialeah, FL 33016

NPI: 1477808269

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12

🟢 Low

Risk Flags

High antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

23,477

Total Claims

$831K

Drug Cost

1,265

Beneficiaries

$657

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. 110,156 Internal Medicine providers

-68%

Opioid rate vs peers

0.7% vs 2.2% avg

-53%

Cost per patient vs peers

$657 vs $1,411 avg

+1%

Brand preference vs peers

10.8% vs 10.6% avg

Opioid Prescribing

0.7%

Opioid Rate

170

Opioid Claims

$589

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,509 claims · $742K

Generic: 20,764 claims · $86K

Patient Profile

78

Avg Age

62%

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