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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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Rajiv KandalaM.D.

Family Practice · Chicago, IL 60649

NPI: 1376608059

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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

43,354

Total Claims

$3.1M

Drug Cost

1,282

Beneficiaries

$2,413

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. 106,889 Family Practice providers

-98%

Opioid rate vs peers

0.1% vs 2.6% avg

+126%

Cost per patient vs peers

$2,413 vs $1,068 avg

+31%

Brand preference vs peers

11.8% vs 9.0% avg

Opioid Prescribing

0.1%

Opioid Rate

27

Opioid Claims

$294

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 5,084 claims · $2.2M

Generic: 38,037 claims · $930K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Valbenazine Tosylate54$309K
Apixaban880$246K
Bictegrav/Emtricit/Tenofov Ala36$147K
Aripiprazole Lauroxil44$109K
Rivaroxaban332$100K
Deutetrabenazine21$87K
Paliperidone Palmitate24$70K
Dulaglutide79$67K
Empagliflozin196$66K
Collagenase Clostridium Hist.103$62K
Insulin Glargine,hum.Rec.Anlog233$47K
Darunavir36$38K
Atorvastatin Calcium2,913$36K
Insulin Aspart206$36K
Rifaximin24$35K

Prescribing Profile

260

Unique Drugs

$541K

IRA Negotiated Drugs

$67K

GLP-1 Drugs

17.0

Anomaly Score

Patient Profile

68

Avg Age

43%

Female

2.86

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