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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.

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Peter Sylvester

Neurology · Saint Louis, MO 63127

NPI: 1538574538

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35

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

503

Total Claims

$6,940

Drug Cost

148

Beneficiaries

$47

Cost/Patient

Risk Score Breakdown 35/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+10

Score components are additive. Read full methodology

Peer Comparison vs. 13,194 Neurology providers

+3640%

Opioid rate vs peers

48.9% vs 1.3% avg

-99%

Cost per patient vs peers

$47 vs $4,034 avg

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

Opioid Prescribing

48.9%

Opioid Rate

246

Opioid Claims

$3,159

Opioid Cost

Long-Acting Rate

This provider's opioid prescribing rate of 48.9% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 503 claims · $6,940

Patient Profile

73

Avg Age

57%

Female

1.26

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