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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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Nehal ModhMD

Pain Management · Festus, MO 63028

NPI: 1619081890

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12

🟢 Low

Risk Flags

95th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

6,486

Total Claims

$576K

Drug Cost

415

Beneficiaries

$1,389

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. 2,621 Pain Management providers

+35%

Opioid rate vs peers

55.8% vs 41.3% avg

+248%

Cost per patient vs peers

$1,389 vs $399 avg

+134%

Brand preference vs peers

8.8% vs 3.8% avg

Opioid Prescribing

55.8%

Opioid Rate

3,616

Opioid Claims

$240K

Opioid Cost

12.1%

Long-Acting Rate

This provider's opioid prescribing rate of 55.8% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

91% generic

Brand: 569 claims · $418K

Generic: 5,917 claims · $159K

Patient Profile

62

Avg Age

59%

Female

2.16

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