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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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David SmithMD

Pain Management · San Diego, CA 92108

NPI: 1811930357

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32

🟠 Elevated

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128b3 · Date: 20241219 · State: NV

Risk Flags

95th percentile opioid prescribingOIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

3,369

Total Claims

$178K

Drug Cost

307

Beneficiaries

$579

Cost/Patient

Risk Score Breakdown 32/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20
Opioid rate (national percentile)+10

Score components are additive. Read full methodology

Peer Comparison vs. 2,621 Pain Management providers

+33%

Opioid rate vs peers

55.0% vs 41.3% avg

+45%

Cost per patient vs peers

$579 vs $399 avg

+24%

Brand preference vs peers

4.7% vs 3.8% avg

Opioid Prescribing

55.0%

Opioid Rate

1,852

Opioid Claims

$86K

Opioid Cost

19.9%

Long-Acting Rate

This provider's opioid prescribing rate of 55.0% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

95% generic

Brand: 157 claims · $60K

Generic: 3,212 claims · $118K

Patient Profile

65

Avg Age

58%

Female

1.67

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