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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 →

Robert GuirguisDO

Pain Management · Tampa, FL 33603

NPI: 1134170038

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26

🟡 Moderate

Risk Flags

99th percentile opioid prescribingOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

13,100

Total Claims

$1.2M

Drug Cost

1,459

Beneficiaries

$790

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+15
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 2,621 Pain Management providers

+70%

Opioid rate vs peers

70.0% vs 41.3% avg

+98%

Cost per patient vs peers

$790 vs $399 avg

+160%

Brand preference vs peers

9.8% vs 3.8% avg

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

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

Opioid Prescribing

70.0%

Opioid Rate

9,165

Opioid Claims

$554K

Opioid Cost

18.6%

Long-Acting Rate

This provider's opioid prescribing rate of 70.0% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

90% generic

Brand: 1,279 claims · $522K

Generic: 11,821 claims · $631K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Myristate214$136K
Naproxen84$105K
Oxycodone Hcl2,723$71K
Oxycodone Hcl/Acetaminophen1,736$70K
Buprenorphine Hcl104$67K
Hydrocodone/Acetaminophen1,755$59K
Methylnaltrexone Bromide19$51K
Oxycodone Hcl77$48K
Naloxegol Oxalate56$33K
Sumatriptan47$29K
Ergotamine Tartrate/Caffeine18$27K
Morphine Sulfate966$26K
Diclofenac Sodium254$25K
Linaclotide28$20K
Buprenorphine43$19K

Prescribing Profile

61

Unique Drugs

26.0

Anomaly Score

Patient Profile

64

Avg Age

61%

Female

2.39

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