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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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Rafael SotoM.D.

General Practice · Toa Baja, PR 00949

NPI: 1932105665

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15

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

40,610

Total Claims

$3.3M

Drug Cost

1,555

Beneficiaries

$2,133

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 7,389 General Practice providers

-84%

Opioid rate vs peers

0.4% vs 2.5% avg

+89%

Cost per patient vs peers

$2,133 vs $1,128 avg

+61%

Brand preference vs peers

13.6% vs 8.4% avg

Opioid Prescribing

0.4%

Opioid Rate

156

Opioid Claims

$3,362

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 5,449 claims · $2.5M

Generic: 34,760 claims · $833K

Patient Profile

73

Avg Age

60%

Female

1.83

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