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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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Sushil JainMD

Internal Medicine · Medina, OH 44256

NPI: 1538147152

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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

27,593

Total Claims

$2.0M

Drug Cost

811

Beneficiaries

$2,478

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. 110,156 Internal Medicine providers

-42%

Opioid rate vs peers

1.3% vs 2.2% avg

+76%

Cost per patient vs peers

$2,478 vs $1,411 avg

+30%

Brand preference vs peers

13.8% vs 10.6% avg

Opioid Prescribing

1.3%

Opioid Rate

356

Opioid Claims

$4,127

Opioid Cost

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 3,799 claims · $1.5M

Generic: 23,683 claims · $533K

Patient Profile

78

Avg Age

60%

Female

1.94

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