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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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James AgrestiDO

Internal Medicine · Nutley, NJ 07110

NPI: 1578511135

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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

23,118

Total Claims

$2.4M

Drug Cost

969

Beneficiaries

$2,426

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

-14%

Opioid rate vs peers

1.9% vs 2.2% avg

+72%

Cost per patient vs peers

$2,426 vs $1,411 avg

+73%

Brand preference vs peers

18.4% vs 10.6% avg

Opioid Prescribing

1.9%

Opioid Rate

447

Opioid Claims

$22K

Opioid Cost

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 4,222 claims · $1.8M

Generic: 18,784 claims · $592K

Patient Profile

77

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