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.
Read our methodology →Michael VillarrealMD
Student in an Organized Health Care Education/Training Program · Pittsburgh, PA 15232
NPI: 1801283700
31
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
61
Total Claims
$2,416
Drug Cost
24
Beneficiaries
$101
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 36,424 Student in an Organized Health Care Education/Training Program providers
+1037%
Opioid rate vs peers
49.2% vs 4.3% avg
-84%
Cost per patient vs peers
$101 vs $622 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 1,037% above the average for Student in an Organized Health Care Education/Training Program providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
49.2%
Opioid Rate
30
Opioid Claims
$1,936
Opioid Cost
40.0%
Long-Acting Rate
This provider's opioid prescribing rate of 49.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 58 claims · $2,127
Patient Profile
68
Avg Age
—
Female
3.04
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