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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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Victor SimonsMD

General Practice · Canovanas, PR 00729

NPI: 1871513408

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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

39,449

Total Claims

$2.0M

Drug Cost

1,137

Beneficiaries

$1,742

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

-90%

Opioid rate vs peers

0.2% vs 2.5% avg

+54%

Cost per patient vs peers

$1,742 vs $1,128 avg

+39%

Brand preference vs peers

11.6% vs 8.4% avg

Opioid Prescribing

0.2%

Opioid Rate

96

Opioid Claims

$585

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 4,502 claims · $1.6M

Generic: 34,150 claims · $333K

Patient Profile

71

Avg Age

58%

Female

1.78

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