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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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Sergio MercadoMD

Family Practice · Batavia, IL 60510

NPI: 1730123902

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17

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

30,757

Total Claims

$1.7M

Drug Cost

892

Beneficiaries

$1,909

Cost/Patient

Risk Score Breakdown 17/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-69%

Opioid rate vs peers

0.8% vs 2.6% avg

+79%

Cost per patient vs peers

$1,909 vs $1,068 avg

+12%

Brand preference vs peers

10.1% vs 9.0% avg

Opioid Prescribing

0.8%

Opioid Rate

244

Opioid Claims

$10K

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 3,070 claims · $1.3M

Generic: 27,475 claims · $439K

Patient Profile

79

Avg Age

59%

Female

2.03

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