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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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Sanjay ShahMD

Anesthesiology · Spring House, PA 19002

NPI: 1770558413

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12

🟢 Low

Risk Flags

95th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

8,065

Total Claims

$572K

Drug Cost

674

Beneficiaries

$849

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. 3,186 Anesthesiology providers

+73%

Opioid rate vs peers

60.1% vs 34.8% avg

+101%

Cost per patient vs peers

$849 vs $422 avg

+31%

Brand preference vs peers

6.2% vs 4.7% avg

Opioid Prescribing

60.1%

Opioid Rate

4,847

Opioid Claims

$464K

Opioid Cost

22.0%

Long-Acting Rate

This provider's opioid prescribing rate of 60.1% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

94% generic

Brand: 501 claims · $289K

Generic: 7,564 claims · $283K

Patient Profile

69

Avg Age

63%

Female

1.57

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