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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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Sima Muster

Internal Medicine · Brooklyn, NY 11229

NPI: 1508890740

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21

🟡 Moderate

Risk Flags

Elevated cost per beneficiaryHigh antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

20,654

Total Claims

$4.3M

Drug Cost

531

Beneficiaries

$8,151

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+5
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-92%

Opioid rate vs peers

0.2% vs 2.2% avg

+478%

Cost per patient vs peers

$8,151 vs $1,411 avg

+153%

Brand preference vs peers

26.9% vs 10.6% avg

Opioid Prescribing

0.2%

Opioid Rate

39

Opioid Claims

$396

Opioid Cost

Long-Acting Rate

Brand vs Generic

73% generic

Brand: 5,487 claims · $3.7M

Generic: 14,894 claims · $582K

Patient Profile

76

Avg Age

60%

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