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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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James MulindaM.D.

Internal Medicine · Roanoke, VA 24018

NPI: 1093797094

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13

🟢 Low

Risk Flags

Elevated cost per beneficiaryExtreme brand-name preference

Risk indicators are statistical patterns, not allegations. Learn more

10,065

Total Claims

$6.0M

Drug Cost

1,066

Beneficiaries

$5,593

Cost/Patient

Risk Score Breakdown 13/100

Low (0)Moderate (15)Elevated (30)High (50+)
Brand-name preference+8
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+296%

Cost per patient vs peers

$5,593 vs $1,411 avg

+441%

Brand preference vs peers

57.5% vs 10.6% avg

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

Brand vs Generic

43% generic

Brand: 5,391 claims · $5.8M

Generic: 3,985 claims · $79K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dulaglutide603$885K
Empagliflozin694$752K
Semaglutide367$499K
Insulin Aspart294$415K
Insulin Lispro244$326K
Insulin Glargine,hum.Rec.Anlog306$280K
Dapagliflozin Propanediol242$252K
Semaglutide109$181K
Tirzepatide125$176K
Insulin Lispro90$165K
Insulin Glargine,hum.Rec.Anlog191$154K
Insulin Detemir142$154K
Insulin Glargine/Lixisenatide129$142K
Insulin Aspart71$114K
Liraglutide41$112K

Prescribing Profile

75

Unique Drugs

$1.6M

IRA Negotiated Drugs

$1.9M

GLP-1 Drugs

13.0

Anomaly Score

Patient Profile

70

Avg Age

63%

Female

1.50

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