⚠️

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 →

Jose VillarrealD.D.S.

Dentist · Mcallen, TX 78504

NPI: 1669516928

Share:

29

🟡 Moderate

Risk Flags

Very high opioid rate vs specialty peers90th percentile opioid prescribingHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

116

Total Claims

$11K

Drug Cost

22

Beneficiaries

$511

Cost/Patient

Risk Score Breakdown 29/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Long-acting opioid rate+8
Opioid rate (national percentile)+3

Score components are additive. Read full methodology

Peer Comparison vs. 70,845 Dentist providers

+583%

Opioid rate vs peers

38.8% vs 5.7% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

🔎 Data Overview

⚠️

Opioid prescribing rate is 583% above the average for Dentist providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

38.8%

Opioid Rate

45

Opioid Claims

$5,082

Opioid Cost

44.4%

Long-Acting Rate

This provider's opioid prescribing rate of 38.8% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

88% generic

Brand: 14 claims · $7,336

Generic: 102 claims · $3,898

Patient Profile

71

Avg Age

Female

1.28

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