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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 JimenezMD

Psychiatry · San Antonio, TX 78212

NPI: 1083713614

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22

🟡 Moderate

Risk Flags

High cost outlier (population + peer)High antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

11,316

Total Claims

$2.6M

Drug Cost

399

Beneficiaries

$6,430

Cost/Patient

Risk Score Breakdown 22/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Cost per patient outlier+6
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 21,141 Psychiatry providers

+279%

Cost per patient vs peers

$6,430 vs $1,696 avg

+50%

Brand preference vs peers

7.4% vs 5.0% avg

Brand vs Generic

93% generic

Brand: 838 claims · $2.2M

Generic: 10,478 claims · $321K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Deutetrabenazine130$913K
Valbenazine Tosylate39$317K
Paliperidone Palmitate55$197K
Cariprazine Hcl100$149K
Lurasidone Hcl84$129K
Lumateperone Tosylate65$115K
Aripiprazole Lauroxil24$95K
Brexpiprazole60$95K
Aripiprazole455$56K
Lurasidone Hcl128$43K
Aripiprazole14$41K
Vortioxetine Hydrobromide51$25K
Dextroamphetamine/Amphetamine31$23K
Dextroamphetamine/Amphetamine431$20K
Alprazolam1,912$17K

Prescribing Profile

58

Unique Drugs

22.0

Anomaly Score

Patient Profile

58

Avg Age

65%

Female

1.73

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