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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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Robert BaileyMD

Family Practice · Jamestown, NY 14701

NPI: 1023428612

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12

🟢 Low

Risk Flags

High antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

9,030

Total Claims

$924K

Drug Cost

732

Beneficiaries

$1,263

Cost/Patient

Risk Score Breakdown 12/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-91%

Opioid rate vs peers

0.2% vs 2.6% avg

+18%

Cost per patient vs peers

$1,263 vs $1,068 avg

+24%

Brand preference vs peers

11.2% vs 9.0% avg

Opioid Prescribing

0.2%

Opioid Rate

22

Opioid Claims

$272

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 991 claims · $760K

Generic: 7,891 claims · $159K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban79$111K
Insulin Glargine,hum.Rec.Anlog87$74K
Empagliflozin45$65K
Sitagliptin Phosphate47$63K
Rivaroxaban37$47K
Insulin Aspart20$34K
Fluticasone/Umeclidin/Vilanter35$32K
Tiotropium Bromide25$31K
Emtricitabine/Tenofov Alafenam12$28K
Fluticasone/Vilanterol31$19K
Umeclidinium Bromide20$14K
Levothyroxine Sodium487$10K
Insulin Glargine,hum.Rec.Anlog16$10K
Insulin Lispro17$8,831
Fluticasone Propion/Salmeterol15$8,370

Prescribing Profile

115

Unique Drugs

$321K

IRA Negotiated Drugs

12.0

Anomaly Score

Patient Profile

75

Avg Age

43%

Female

1.14

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 of wrongdoing.Methodology · About · Dispute this data