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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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Rajesh AgarwalM.D.

Internal Medicine · York, PA 17403

NPI: 1588752067

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26

🟡 Moderate

Risk Flags

High long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

23,400

Total Claims

$1.4M

Drug Cost

481

Beneficiaries

$2,827

Cost/Patient

Risk Score Breakdown 26/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-57%

Opioid rate vs peers

1.0% vs 2.2% avg

+100%

Cost per patient vs peers

$2,827 vs $1,411 avg

+4%

Brand preference vs peers

11.0% vs 10.6% avg

Opioid Prescribing

1.0%

Opioid Rate

223

Opioid Claims

$6,242

Opioid Cost

22.9%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 2,567 claims · $927K

Generic: 20,720 claims · $424K

Patient Profile

83

Avg Age

67%

Female

2.13

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