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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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Ramon EspinalMD

Pain Management · Covington, GA 30014

NPI: 1851390363

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12

🟢 Low

Risk Flags

95th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

6,196

Total Claims

$587K

Drug Cost

2,021

Beneficiaries

$290

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. 2,621 Pain Management providers

+54%

Opioid rate vs peers

63.7% vs 41.3% avg

-27%

Cost per patient vs peers

$290 vs $399 avg

+115%

Brand preference vs peers

8.1% vs 3.8% avg

Opioid Prescribing

63.7%

Opioid Rate

3,944

Opioid Claims

$383K

Opioid Cost

17.7%

Long-Acting Rate

This provider's opioid prescribing rate of 63.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

92% generic

Brand: 499 claims · $375K

Generic: 5,697 claims · $212K

Patient Profile

65

Avg Age

68%

Female

1.89

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