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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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Ketankumar VaidyaMD

Internal Medicine · Edison, NJ 08817

NPI: 1487688586

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15

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

21,644

Total Claims

$3.5M

Drug Cost

801

Beneficiaries

$4,392

Cost/Patient

Risk Score Breakdown 15/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-64%

Opioid rate vs peers

0.8% vs 2.2% avg

+211%

Cost per patient vs peers

$4,392 vs $1,411 avg

+60%

Brand preference vs peers

17.0% vs 10.6% avg

Opioid Prescribing

0.8%

Opioid Rate

173

Opioid Claims

$2,862

Opioid Cost

7.5%

Long-Acting Rate

Brand vs Generic

83% generic

Brand: 3,639 claims · $2.9M

Generic: 17,714 claims · $639K

Patient Profile

77

Avg Age

58%

Female

1.44

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