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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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Jayesh ShethMD

Family Practice · Sellersburg, IN 47172

NPI: 1003845488

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30

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peersextreme_fills_per_patient

Risk indicators are statistical patterns, not allegations. Learn more

1,329

Total Claims

$64K

Drug Cost

34

Beneficiaries

$1,871

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+869%

Opioid rate vs peers

25.0% vs 2.6% avg

+75%

Cost per patient vs peers

$1,871 vs $1,068 avg

-7%

Brand preference vs peers

8.3% vs 9.0% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

25.0%

Opioid Rate

332

Opioid Claims

$6,441

Opioid Cost

9.6%

Long-Acting Rate

This provider's opioid prescribing rate of 25.0% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

92% generic

Brand: 108 claims · $16K

Generic: 1,186 claims · $46K

Patient Profile

62

Avg Age

62%

Female

5.01

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