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 →Nicholas GonsalvesM.D.
Student in an Organized Health Care Education/Training Program · Riverside, CA 92501
NPI: 1124553987
34
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
105
Total Claims
$3,675
Drug Cost
84
Beneficiaries
$44
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 36,424 Student in an Organized Health Care Education/Training Program providers
+1485%
Opioid rate vs peers
68.6% vs 4.3% avg
-93%
Cost per patient vs peers
$44 vs $622 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid prescribing rate is 1,485% above the average for Student in an Organized Health Care Education/Training Program providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
68.6%
Opioid Rate
72
Opioid Claims
$158
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 68.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 96 claims · $788
Patient Profile
72
Avg Age
49%
Female
2.55
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About