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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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Ralph OrtizD.O., M.P.H.

Interventional Pain Management · Freeville, NY 13068

NPI: 1720171879

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12

🟢 Low

Risk Flags

95th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

5,296

Total Claims

$716K

Drug Cost

349

Beneficiaries

$2,051

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

+37%

Opioid rate vs peers

62.9% vs 45.9% avg

+325%

Cost per patient vs peers

$2,051 vs $483 avg

+172%

Brand preference vs peers

11.2% vs 4.1% avg

Opioid Prescribing

62.9%

Opioid Rate

3,332

Opioid Claims

$410K

Opioid Cost

24.7%

Long-Acting Rate

This provider's opioid prescribing rate of 62.9% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

89% generic

Brand: 594 claims · $471K

Generic: 4,702 claims · $245K

Patient Profile

64

Avg Age

58%

Female

1.54

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