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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 QuilesMD

General Practice · Santa Isabel, PR 00757

NPI: 1982673794

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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

22,724

Total Claims

$814K

Drug Cost

572

Beneficiaries

$1,424

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

-40%

Opioid rate vs peers

1.5% vs 2.5% avg

+26%

Cost per patient vs peers

$1,424 vs $1,128 avg

+19%

Brand preference vs peers

10.0% vs 8.4% avg

Opioid Prescribing

1.5%

Opioid Rate

335

Opioid Claims

$2,104

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 2,253 claims · $582K

Generic: 20,253 claims · $227K

Patient Profile

74

Avg Age

54%

Female

2.03

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