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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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Anthony NelsonMD

Anesthesiology · Rancho Mirage, CA 92270

NPI: 1467530576

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12

🟢 Low

Risk Flags

95th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

8,032

Total Claims

$315K

Drug Cost

621

Beneficiaries

$507

Cost/Patient

Risk Score Breakdown 12/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+10

Score components are additive. Read full methodology

Peer Comparison vs. 3,186 Anesthesiology providers

+91%

Opioid rate vs peers

66.6% vs 34.8% avg

+20%

Cost per patient vs peers

$507 vs $422 avg

-29%

Brand preference vs peers

3.3% vs 4.7% avg

Opioid Prescribing

66.6%

Opioid Rate

5,348

Opioid Claims

$246K

Opioid Cost

15.9%

Long-Acting Rate

This provider's opioid prescribing rate of 66.6% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

97% generic

Brand: 269 claims · $113K

Generic: 7,763 claims · $202K

Patient Profile

73

Avg Age

58%

Female

2.13

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