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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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Steven MacinaDO

Psychiatry · Huntington Beach, CA 92647

NPI: 1124130471

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24

🟡 Moderate

Risk Flags

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

Risk indicators are statistical patterns, not allegations. Learn more

12,393

Total Claims

$2.5M

Drug Cost

372

Beneficiaries

$6,716

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Cost per patient outlier+6
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 21,141 Psychiatry providers

+296%

Cost per patient vs peers

$6,716 vs $1,696 avg

+50%

Brand preference vs peers

7.4% vs 5.0% avg

Brand vs Generic

93% generic

Brand: 919 claims · $1.5M

Generic: 11,474 claims · $1.0M

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Paliperidone Palmitate240$653K
Cariprazine Hcl143$208K
Aripiprazole163$189K
Iloperidone72$180K
Risperidone Microspheres52$114K
Olanzapine453$107K
Risperidone391$99K
Aripiprazole36$93K
Lurasidone Hcl53$79K
Brexpiprazole45$69K
Paliperidone118$56K
Quetiapine Fumarate168$53K
Lurasidone Hcl103$50K
Clozapine464$42K
Vortioxetine Hydrobromide75$42K

Prescribing Profile

72

Unique Drugs

24.0

Anomaly Score

Patient Profile

63

Avg Age

45%

Female

1.91

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