⚠️

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 →

Raymond GaetaM.D.

Anesthesiology · San Mateo, CA 94403

NPI: 1225179823

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38

🟠 Elevated

Risk Flags

99th percentile opioid prescribingHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

10,295

Total Claims

$1.3M

Drug Cost

1,035

Beneficiaries

$1,262

Cost/Patient

Risk Score Breakdown 38/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+15
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 3,186 Anesthesiology providers

+95%

Opioid rate vs peers

67.7% vs 34.8% avg

+199%

Cost per patient vs peers

$1,262 vs $422 avg

+178%

Brand preference vs peers

13.2% vs 4.7% 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

67.7%

Opioid Rate

6,973

Opioid Claims

$1.0M

Opioid Cost

31.8%

Long-Acting Rate

This provider's opioid prescribing rate of 67.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

87% generic

Brand: 1,356 claims · $639K

Generic: 8,939 claims · $667K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Buprenorphine1,121$396K
Buprenorphine Hcl200$165K
Oxycodone Hcl154$119K
Buprenorphine144$116K
Hydrocodone/Acetaminophen1,748$68K
Oxycodone Hcl/Acetaminophen789$44K
Ubrogepant15$39K
Buprenorphine Hcl602$34K
Oxycodone Hcl947$26K
Buprenorphine Hcl/Naloxone Hcl111$23K
Naloxegol Oxalate39$22K
Fentanyl138$19K
Pregabalin326$16K
Hydromorphone Hcl723$12K
Oxycodone Myristate17$12K

Prescribing Profile

56

Unique Drugs

38.0

Anomaly Score

Patient Profile

71

Avg Age

68%

Female

1.52

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