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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.

Read our methodology →

Vagharshak PilossyanM.D.

Internal Medicine · Van Nuys, CA 91401

NPI: 1467530121

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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

93,121

Total Claims

$13.5M

Drug Cost

1,000

Beneficiaries

$14K

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. 110,156 Internal Medicine providers

-40%

Opioid rate vs peers

1.3% vs 2.2% avg

+859%

Cost per patient vs peers

$14K vs $1,411 avg

+79%

Brand preference vs peers

19.0% vs 10.6% avg

🔎 Data Overview

💰

Cost per patient is 859% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

1.3%

Opioid Rate

1,247

Opioid Claims

$16K

Opioid Cost

Long-Acting Rate

Brand vs Generic

81% generic

Brand: 17,434 claims · $9.6M

Generic: 74,105 claims · $3.9M

Patient Profile

72

Avg Age

55%

Female

1.80

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