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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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Kenneth SebastianelliMD

Internal Medicine · Moosic, PA 18507

NPI: 1679543110

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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

34,938

Total Claims

$2.4M

Drug Cost

1,255

Beneficiaries

$1,932

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

-8%

Opioid rate vs peers

2.1% vs 2.2% avg

+37%

Cost per patient vs peers

$1,932 vs $1,411 avg

+33%

Brand preference vs peers

14.1% vs 10.6% avg

Opioid Prescribing

2.1%

Opioid Rate

723

Opioid Claims

$11K

Opioid Cost

1.8%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 4,890 claims · $1.8M

Generic: 29,818 claims · $592K

Patient Profile

76

Avg Age

62%

Female

1.18

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