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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.

Read our methodology →

Andrew PhoonMD

Internal Medicine · San Diego, CA 92123

NPI: 1124039524

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15

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

11,376

Total Claims

$1.3M

Drug Cost

372

Beneficiaries

$3,431

Cost/Patient

Risk Score Breakdown 15/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-85%

Opioid rate vs peers

0.3% vs 2.2% avg

+143%

Cost per patient vs peers

$3,431 vs $1,411 avg

+52%

Brand preference vs peers

16.2% vs 10.6% avg

Opioid Prescribing

0.3%

Opioid Rate

37

Opioid Claims

$1,083

Opioid Cost

Long-Acting Rate

Brand vs Generic

84% generic

Brand: 1,834 claims · $729K

Generic: 9,495 claims · $545K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Abiraterone Acetate11$94K
Fluticasone/Umeclidin/Vilanter132$88K
Empagliflozin127$74K
Lipase/Protease/Amylase30$50K
Atorvastatin Calcium933$47K
Paliperidone Palmitate12$42K
Apixaban63$32K
Rifaximin11$32K
Dulaglutide29$29K
Insulin Glargine-Yfgn209$24K
Metformin Hcl51$23K
Rivaroxaban52$23K
Fluticasone/Vilanterol53$21K
Rosuvastatin Calcium255$21K
Pantoprazole Sodium339$20K

Prescribing Profile

134

Unique Drugs

$162K

IRA Negotiated Drugs

$56K

GLP-1 Drugs

15.0

Anomaly Score

Patient Profile

75

Avg Age

63%

Female

2.48

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