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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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Raul RiveraM.D.

Internal Medicine · Arecibo, PR 00612

NPI: 1679672356

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12

🟢 Low

Risk Flags

Elevated antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

18,967

Total Claims

$1.3M

Drug Cost

558

Beneficiaries

$2,400

Cost/Patient

Risk Score Breakdown 12/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+5
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-95%

Opioid rate vs peers

0.1% vs 2.2% avg

+70%

Cost per patient vs peers

$2,400 vs $1,411 avg

+31%

Brand preference vs peers

14.0% vs 10.6% avg

Opioid Prescribing

0.1%

Opioid Rate

20

Opioid Claims

$100

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 2,603 claims · $1.1M

Generic: 16,027 claims · $240K

Patient Profile

74

Avg Age

61%

Female

1.87

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