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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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Anil ModiMD

Internal Medicine · Lagrange, GA 30240

NPI: 1508868704

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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

20,048

Total Claims

$1.3M

Drug Cost

760

Beneficiaries

$1,762

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

-47%

Opioid rate vs peers

1.2% vs 2.2% avg

+25%

Cost per patient vs peers

$1,762 vs $1,411 avg

-3%

Brand preference vs peers

10.3% vs 10.6% avg

Opioid Prescribing

1.2%

Opioid Rate

240

Opioid Claims

$1,985

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 2,044 claims · $1.1M

Generic: 17,794 claims · $246K

Patient Profile

75

Avg Age

60%

Female

1.27

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