⚠️

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 →

Richard SandovalPA

Physician Assistant · Bakersfield, CA 93309

NPI: 1245660729

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41

🟠 Elevated

Risk Flags

High opioid rate vs specialty peers95th percentile opioid prescribingHigh long-acting opioid rate vs peersOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

5,243

Total Claims

$357K

Drug Cost

554

Beneficiaries

$645

Cost/Patient

Risk Score Breakdown 41/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Opioid rate (national percentile)+10
Long-acting opioid rate+8
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 109,535 Physician Assistant providers

+495%

Opioid rate vs peers

54.7% vs 9.2% avg

-10%

Cost per patient vs peers

$645 vs $719 avg

-21%

Brand preference vs peers

5.2% vs 6.7% 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

💊

Opioid rate is 495% above Physician Assistant peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

⚠️

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

54.7%

Opioid Rate

2,866

Opioid Claims

$178K

Opioid Cost

20.2%

Long-Acting Rate

This provider's opioid prescribing rate of 54.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

95% generic

Brand: 274 claims · $139K

Generic: 4,969 claims · $219K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Hydrocodone/Acetaminophen1,140$43K
Methylnaltrexone Bromide16$39K
Oxycodone Hcl67$37K
Oxycodone Hcl/Acetaminophen521$25K
Naloxegol Oxalate43$21K
Diclofenac Sodium123$21K
Buprenorphine45$13K
Gabapentin516$10K
Morphine Sulfate350$10K
Oxycodone Hcl313$8,695
Lidocaine53$6,638
Naldemedine Tosylate12$5,730
Pregabalin110$5,417
Baclofen189$5,155
Duloxetine Hcl112$4,095

Prescribing Profile

47

Unique Drugs

41.0

Anomaly Score

Patient Profile

66

Avg Age

56%

Female

1.85

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