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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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Arturo MartinezMD

Internal Medicine · Mcallen, TX 78501

NPI: 1649563925

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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

18,209

Total Claims

$1.7M

Drug Cost

691

Beneficiaries

$2,501

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

-73%

Opioid rate vs peers

0.6% vs 2.2% avg

+77%

Cost per patient vs peers

$2,501 vs $1,411 avg

+43%

Brand preference vs peers

15.2% vs 10.6% avg

Opioid Prescribing

0.6%

Opioid Rate

111

Opioid Claims

$1,367

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 2,760 claims · $1.3M

Generic: 15,378 claims · $402K

Patient Profile

77

Avg Age

54%

Female

3.69

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