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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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Sachin JainMD

Internal Medicine · Waukegan, IL 60085

NPI: 1326292228

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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

26,178

Total Claims

$2.2M

Drug Cost

714

Beneficiaries

$3,049

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

-96%

Opioid rate vs peers

0.1% vs 2.2% avg

+116%

Cost per patient vs peers

$3,049 vs $1,411 avg

+41%

Brand preference vs peers

15.0% vs 10.6% avg

Opioid Prescribing

0.1%

Opioid Rate

23

Opioid Claims

$141

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 3,887 claims · $1.6M

Generic: 22,041 claims · $526K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban913$288K
Dulaglutide171$157K
Pimavanserin Tartrate41$97K
Paliperidone Palmitate43$88K
Empagliflozin142$69K
Bictegrav/Emtricit/Tenofov Ala12$49K
Insulin Glargine,hum.Rec.Anlog119$43K
Sitagliptin Phosphate98$36K
Dapagliflozin Propanediol37$36K
Linagliptin111$35K
Insulin Degludec48$33K
Insulin Glargine,hum.Rec.Anlog83$29K
Budesonide/Formoterol Fumarate62$28K
Insulin Aspart63$28K
Linaclotide46$26K

Prescribing Profile

231

Unique Drugs

$524K

IRA Negotiated Drugs

$207K

GLP-1 Drugs

17.0

Anomaly Score

Patient Profile

72

Avg Age

53%

Female

2.84

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