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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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Edgar RamirezM.D.

Interventional Pain Management · Wesley Chapel, FL 33544

NPI: 1548242399

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17

🟡 Moderate

Risk Flags

99th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

6,590

Total Claims

$710K

Drug Cost

584

Beneficiaries

$1,216

Cost/Patient

Risk Score Breakdown 17/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 1,498 Interventional Pain Management providers

+60%

Opioid rate vs peers

73.6% vs 45.9% avg

+152%

Cost per patient vs peers

$1,216 vs $483 avg

+212%

Brand preference vs peers

12.9% vs 4.1% avg

Opioid Prescribing

73.6%

Opioid Rate

4,851

Opioid Claims

$616K

Opioid Cost

28.1%

Long-Acting Rate

This provider's opioid prescribing rate of 73.6% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

87% generic

Brand: 850 claims · $480K

Generic: 5,740 claims · $230K

Patient Profile

68

Avg Age

59%

Female

2.11

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