⚠️

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 →

Sandra GutierrezMD

Family Practice · Sisseton, SD 57262

NPI: 1912908187

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38

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers90th percentile opioid prescribingHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

1,011

Total Claims

$88K

Drug Cost

66

Beneficiaries

$1,339

Cost/Patient

Risk Score Breakdown 38/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Long-acting opioid rate+8
Opioid rate (national percentile)+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+1465%

Opioid rate vs peers

40.4% vs 2.6% avg

+25%

Cost per patient vs peers

$1,339 vs $1,068 avg

-9%

Brand preference vs peers

8.2% vs 9.0% avg

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

Opioid Prescribing

40.4%

Opioid Rate

408

Opioid Claims

$49K

Opioid Cost

25.0%

Long-Acting Rate

This provider's opioid prescribing rate of 40.4% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

92% generic

Brand: 83 claims · $44K

Generic: 928 claims · $44K

Patient Profile

66

Avg Age

65%

Female

1.38

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