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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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Tushar ModiM.D.

Internal Medicine · Modesto, CA 95350

NPI: 1679551352

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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

24,552

Total Claims

$2.3M

Drug Cost

1,159

Beneficiaries

$1,999

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

-16%

Opioid rate vs peers

1.9% vs 2.2% avg

+42%

Cost per patient vs peers

$1,999 vs $1,411 avg

-7%

Brand preference vs peers

9.8% vs 10.6% avg

Opioid Prescribing

1.9%

Opioid Rate

461

Opioid Claims

$9,366

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 2,388 claims · $1.7M

Generic: 21,876 claims · $625K

Patient Profile

77

Avg Age

53%

Female

1.41

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