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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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Douglas KastD.O.

Internal Medicine · Hudson, OH 44224

NPI: 1144471798

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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

17,238

Total Claims

$1.1M

Drug Cost

377

Beneficiaries

$2,966

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. 110,156 Internal Medicine providers

-53%

Opioid rate vs peers

1.1% vs 2.2% avg

+110%

Cost per patient vs peers

$2,966 vs $1,411 avg

+10%

Brand preference vs peers

11.7% vs 10.6% avg

Opioid Prescribing

1.1%

Opioid Rate

182

Opioid Claims

$2,889

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,017 claims · $869K

Generic: 15,181 claims · $248K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban563$200K
Dulaglutide57$87K
Empagliflozin68$54K
Dapagliflozin Propanediol54$50K
Sitagliptin Phosphate131$41K
Semaglutide37$41K
Mirabegron147$38K
Rivaroxaban110$36K
Insulin Glargine,hum.Rec.Anlog107$36K
Fluticasone/Umeclidin/Vilanter34$33K
Liraglutide15$29K
Insulin Lispro24$15K
Sacubitril/Valsartan27$14K
Evolocumab11$14K
Sitagliptin Phos/Metformin Hcl17$13K

Prescribing Profile

152

Unique Drugs

$402K

IRA Negotiated Drugs

$157K

GLP-1 Drugs

17.0

Anomaly Score

Patient Profile

75

Avg Age

51%

Female

1.86

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