⚠️

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 →

Monica GandhiMD

Infectious Disease · San Francisco, CA 94110

NPI: 1396700019

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41

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peersExtreme cost outlier (population + peer)High long-acting opioid rate vs peersExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

1,489

Total Claims

$1.2M

Drug Cost

42

Beneficiaries

$30K

Cost/Patient

Risk Score Breakdown 41/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Cost per patient outlier+10
Long-acting opioid rate+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 5,387 Infectious Disease providers

+269%

Cost per patient vs peers

$30K vs $8,010 avg

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

Opioid Prescribing

7.9%

Opioid Rate

117

Opioid Claims

$20K

Opioid Cost

53.0%

Long-Acting Rate

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 1,025 claims · $48K

Patient Profile

64

Avg Age

26%

Female

1.60

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