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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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Nelmary Hernandez RiveraMD

General Practice · Juana Diaz, PR 00795

NPI: 1871086223

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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

34,866

Total Claims

$1.6M

Drug Cost

723

Beneficiaries

$2,182

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. 7,389 General Practice providers

-82%

Opioid rate vs peers

0.4% vs 2.5% avg

+93%

Cost per patient vs peers

$2,182 vs $1,128 avg

+28%

Brand preference vs peers

10.8% vs 8.4% avg

Opioid Prescribing

0.4%

Opioid Rate

154

Opioid Claims

$772

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 3,697 claims · $1.2M

Generic: 30,542 claims · $325K

Patient Profile

75

Avg Age

55%

Female

1.69

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