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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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Carlos PulidoMD

Pain Management · Athens, GA 30606

NPI: 1598730848

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17

🟡 Moderate

Risk Flags

99th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

5,607

Total Claims

$510K

Drug Cost

1,130

Beneficiaries

$451

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. 2,621 Pain Management providers

+64%

Opioid rate vs peers

67.8% vs 41.3% avg

+13%

Cost per patient vs peers

$451 vs $399 avg

+113%

Brand preference vs peers

8.0% vs 3.8% avg

Opioid Prescribing

67.8%

Opioid Rate

3,803

Opioid Claims

$269K

Opioid Cost

16.2%

Long-Acting Rate

This provider's opioid prescribing rate of 67.8% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

92% generic

Brand: 449 claims · $352K

Generic: 5,158 claims · $158K

Patient Profile

64

Avg Age

65%

Female

1.84

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