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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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Jose Rivera SantiagoM.D.

Internal Medicine · Mayaguez, PR 00680

NPI: 1811163843

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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

21,428

Total Claims

$1.1M

Drug Cost

652

Beneficiaries

$1,729

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. 110,156 Internal Medicine providers

-77%

Opioid rate vs peers

0.5% vs 2.2% avg

+23%

Cost per patient vs peers

$1,729 vs $1,411 avg

+2%

Brand preference vs peers

10.8% vs 10.6% avg

Opioid Prescribing

0.5%

Opioid Rate

109

Opioid Claims

$798

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,298 claims · $920K

Generic: 18,935 claims · $202K

Patient Profile

73

Avg Age

59%

Female

1.89

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