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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 →

Justin MassengaleM.D.

Neurosurgery · Boston, MA 02118

NPI: 1003096736

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11

🟢 Low

Risk Flags

90th percentile opioid prescribingVery low drug diversity

Risk indicators are statistical patterns, not allegations. Learn more

226

Total Claims

$4,045

Drug Cost

39

Beneficiaries

$104

Cost/Patient

Risk Score Breakdown 11/100

Low (0)Moderate (15)Elevated (30)High (50+)
Low drug diversity+6
Opioid rate (national percentile)+5

Score components are additive. Read full methodology

Peer Comparison vs. 2,419 Neurosurgery providers

+46%

Opioid rate vs peers

39.4% vs 27.0% avg

-38%

Cost per patient vs peers

$104 vs $166 avg

🔎 Data Overview

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Prescribes only 5 unique drugs with a 39.4% opioid rate. Very low drug diversity combined with high opioid prescribing is a classic statistical marker of potential pill mill operations. However, some legitimate practices (e.g., addiction treatment with buprenorphine) can show similar patterns.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

39.4%

Opioid Rate

89

Opioid Claims

$1,960

Opioid Cost

Long-Acting Rate

This provider's opioid prescribing rate of 39.4% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 226 claims · $4,045

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Hcl72$1,354
Gabapentin65$1,011
Hydrocodone/Acetaminophen11$539
Tizanidine Hcl13$156
Methocarbamol13$94

Prescribing Profile

5

Unique Drugs

11.0

Anomaly Score

Patient Profile

66

Avg Age

54%

Female

1.58

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