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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.

Read our methodology →

Carl GilmoreM.D.

Orthopedic Surgery · Albuquerque, NM 87131

NPI: 1003012493

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8

🟢 Low

Risk Flags

90th percentile opioid prescribingLow drug diversity

Risk indicators are statistical patterns, not allegations. Learn more

602

Total Claims

$7,154

Drug Cost

218

Beneficiaries

$33

Cost/Patient

Risk Score Breakdown 8/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+5
Low drug diversity+3

Score components are additive. Read full methodology

Peer Comparison vs. 17,619 Orthopedic Surgery providers

+14%

Opioid rate vs peers

35.4% vs 31.0% avg

Opioid Prescribing

35.4%

Opioid Rate

213

Opioid Claims

$781

Opioid Cost

Long-Acting Rate

This provider's opioid prescribing rate of 35.4% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 592 claims · $3,334

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Meloxicam160$802
Oxycodone Hcl89$424
Gabapentin64$397
Tramadol Hcl100$257
Mupirocin24$181
Hydrocodone/Acetaminophen24$100
Amoxicillin69$74
Ondansetron Hcl11$55

Prescribing Profile

8

Unique Drugs

8.0

Anomaly Score

Patient Profile

72

Avg Age

67%

Female

0.82

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.Methodology · About