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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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Kelvin Gonzalez SotoM.D.

General Practice · Moca, PR 00676

NPI: 1538481841

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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

28,696

Total Claims

$1.9M

Drug Cost

921

Beneficiaries

$2,028

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. 7,389 General Practice providers

-34%

Opioid rate vs peers

1.6% vs 2.5% avg

+80%

Cost per patient vs peers

$2,028 vs $1,128 avg

+72%

Brand preference vs peers

14.4% vs 8.4% avg

Opioid Prescribing

1.6%

Opioid Rate

470

Opioid Claims

$5,620

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 4,069 claims · $1.5M

Generic: 24,133 claims · $371K

Patient Profile

70

Avg Age

52%

Female

2.92

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