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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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Edwin GirauMD

Psychologist, Clinical · Vega Alta, PR 692

NPI: 1144228537

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17

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

8,576

Total Claims

$260K

Drug Cost

235

Beneficiaries

$1,106

Cost/Patient

Risk Score Breakdown 17/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 148 Psychologist, Clinical providers

-22%

Cost per patient vs peers

$1,106 vs $1,416 avg

+11%

Brand preference vs peers

6.2% vs 5.6% avg

Brand vs Generic

94% generic

Brand: 533 claims · $169K

Generic: 8,026 claims · $90K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Insulin Glargine,hum.Rec.Anlog34$26K
Rivaroxaban34$19K
Apixaban33$19K
Insulin Nph Hum/Reg Insulin Hm36$14K
Insulin Lispro24$11K
Sitagliptin Phos/Metformin Hcl12$9,442
Ticagrelor22$9,364
Dapagliflozin Propanediol11$7,403
Sitagliptin Phosphate13$6,861
Gabapentin990$5,689
Fluticasone Propion/Salmeterol12$4,789
Atorvastatin Calcium406$4,360
Sucralfate65$3,505
Fenofibrate138$3,426
Pentoxifylline141$3,028

Prescribing Profile

105

Unique Drugs

$52K

IRA Negotiated Drugs

17.0

Anomaly Score

Patient Profile

72

Avg Age

46%

Female

1.72

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