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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 →

Joseph CapernaM.D.

Infectious Disease · San Diego, CA 92103

NPI: 1720141153

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30

🟠 Elevated

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

4,853

Total Claims

$3.6M

Drug Cost

106

Beneficiaries

$34K

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10
Cost per patient outlier+10
High fills per patient+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 5,387 Infectious Disease providers

+322%

Cost per patient vs peers

$34K vs $8,010 avg

+25%

Brand preference vs peers

26.7% vs 21.3% avg

Opioid Prescribing

5.3%

Opioid Rate

255

Opioid Claims

$59K

Opioid Cost

23.9%

Long-Acting Rate

Brand vs Generic

73% generic

Brand: 1,286 claims · $3.3M

Generic: 3,535 claims · $263K

Patient Profile

67

Avg Age

Female

1.80

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