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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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Marcus GatesMD

Neurosurgery · Austell, GA 30106

NPI: 1003179425

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12

🟢 Low

Risk Flags

95th percentile opioid prescribingVery low drug diversity

Risk indicators are statistical patterns, not allegations. Learn more

158

Total Claims

$1,118

Drug Cost

65

Beneficiaries

$17

Cost/Patient

Risk Score Breakdown 12/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 2,419 Neurosurgery providers

+132%

Opioid rate vs peers

62.7% vs 27.0% avg

-90%

Cost per patient vs peers

$17 vs $166 avg

Opioid Prescribing

62.7%

Opioid Rate

99

Opioid Claims

$850

Opioid Cost

Long-Acting Rate

This provider's opioid prescribing rate of 62.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 158 claims · $1,118

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Hcl69$651
Methocarbamol29$147
Tramadol Hcl11$31

Prescribing Profile

3

Unique Drugs

12.0

Anomaly Score

Patient Profile

70

Avg Age

60%

Female

1.99

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