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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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James EllnerM.D.

Interventional Pain Management · Woodstock, GA 30189

NPI: 1720138696

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12

🟢 Low

Risk Flags

95th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

5,403

Total Claims

$250K

Drug Cost

561

Beneficiaries

$446

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. 1,498 Interventional Pain Management providers

+27%

Opioid rate vs peers

58.2% vs 45.9% avg

-8%

Cost per patient vs peers

$446 vs $483 avg

+15%

Brand preference vs peers

4.7% vs 4.1% avg

Opioid Prescribing

58.2%

Opioid Rate

3,142

Opioid Claims

$163K

Opioid Cost

15.3%

Long-Acting Rate

This provider's opioid prescribing rate of 58.2% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

95% generic

Brand: 256 claims · $108K

Generic: 5,147 claims · $142K

Patient Profile

74

Avg Age

61%

Female

1.41

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