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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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Terence PhilbinM.D.

Internal Medicine · Crafton, PA 15205

NPI: 1649233784

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12

🟢 Low

Risk Flags

High antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

18,816

Total Claims

$1.6M

Drug Cost

1,030

Beneficiaries

$1,566

Cost/Patient

Risk Score Breakdown 12/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+74%

Opioid rate vs peers

3.9% vs 2.2% avg

+11%

Cost per patient vs peers

$1,566 vs $1,411 avg

+22%

Brand preference vs peers

12.9% vs 10.6% avg

Opioid Prescribing

3.9%

Opioid Rate

731

Opioid Claims

$19K

Opioid Cost

11.5%

Long-Acting Rate

Brand vs Generic

87% generic

Brand: 2,415 claims · $1.3M

Generic: 16,234 claims · $343K

Patient Profile

75

Avg Age

57%

Female

1.26

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