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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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Mark EllisMD

Interventional Pain Management · Athens, GA 30606

NPI: 1730150194

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17

🟡 Moderate

Risk Flags

99th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

19,390

Total Claims

$991K

Drug Cost

1,521

Beneficiaries

$652

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

+95%

Opioid rate vs peers

89.6% vs 45.9% avg

+35%

Cost per patient vs peers

$652 vs $483 avg

-15%

Brand preference vs peers

3.5% vs 4.1% avg

Opioid Prescribing

89.6%

Opioid Rate

17,371

Opioid Claims

$919K

Opioid Cost

12.8%

Long-Acting Rate

This provider's opioid prescribing rate of 89.6% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

97% generic

Brand: 678 claims · $234K

Generic: 18,712 claims · $757K

Patient Profile

66

Avg Age

61%

Female

1.82

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