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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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Carlos Otero RiveraM.D.

Family Practice · Ciales, PR 00638

NPI: 1740238609

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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

18,816

Total Claims

$936K

Drug Cost

544

Beneficiaries

$1,720

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

+27%

Opioid rate vs peers

3.3% vs 2.6% avg

+61%

Cost per patient vs peers

$1,720 vs $1,068 avg

+23%

Brand preference vs peers

11.1% vs 9.0% avg

Opioid Prescribing

3.3%

Opioid Rate

615

Opioid Claims

$4,426

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,071 claims · $730K

Generic: 16,627 claims · $202K

Patient Profile

68

Avg Age

45%

Female

1.63

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