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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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Jorge SotoM.D.

Internal Medicine · Aguada, PR 00602

NPI: 1497977227

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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

26,467

Total Claims

$1.5M

Drug Cost

885

Beneficiaries

$1,706

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. 110,156 Internal Medicine providers

-68%

Opioid rate vs peers

0.7% vs 2.2% avg

+21%

Cost per patient vs peers

$1,706 vs $1,411 avg

+20%

Brand preference vs peers

12.8% vs 10.6% avg

Opioid Prescribing

0.7%

Opioid Rate

189

Opioid Claims

$1,501

Opioid Cost

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 3,353 claims · $1.2M

Generic: 22,838 claims · $291K

Patient Profile

72

Avg Age

53%

Female

2.69

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