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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 SullivanMD

Internal Medicine · Birmingham, AL 35215

NPI: 1588613020

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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

49,673

Total Claims

$7.2M

Drug Cost

1,273

Beneficiaries

$5,649

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

+175%

Opioid rate vs peers

6.1% vs 2.2% avg

+300%

Cost per patient vs peers

$5,649 vs $1,411 avg

+18%

Brand preference vs peers

12.5% vs 10.6% avg

Opioid Prescribing

6.1%

Opioid Rate

3,053

Opioid Claims

$64K

Opioid Cost

1.4%

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 6,170 claims · $5.3M

Generic: 43,220 claims · $1.9M

Patient Profile

65

Avg Age

56%

Female

1.69

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