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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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Vijay KumarM.D.,

Family Practice · Norton, VA 24273

NPI: 1477747145

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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

22,322

Total Claims

$2.0M

Drug Cost

645

Beneficiaries

$3,091

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

+55%

Opioid rate vs peers

4.0% vs 2.6% avg

+189%

Cost per patient vs peers

$3,091 vs $1,068 avg

+98%

Brand preference vs peers

17.8% vs 9.0% avg

Opioid Prescribing

4.0%

Opioid Rate

894

Opioid Claims

$22K

Opioid Cost

2.9%

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 3,931 claims · $1.6M

Generic: 18,092 claims · $397K

Patient Profile

69

Avg Age

57%

Female

1.68

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