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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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Scott BernsteinMD

Internal Medicine · Pomona, NY 10970

NPI: 1689601817

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25

🟡 Moderate

Risk Flags

High brand-name preferenceHigh long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

25,465

Total Claims

$3.9M

Drug Cost

9,155

Beneficiaries

$425

Cost/Patient

Risk Score Breakdown 25/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
Brand-name preference+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-45%

Opioid rate vs peers

1.2% vs 2.2% avg

-70%

Cost per patient vs peers

$425 vs $1,411 avg

+344%

Brand preference vs peers

47.2% vs 10.6% avg

Opioid Prescribing

1.2%

Opioid Rate

315

Opioid Claims

$14K

Opioid Cost

28.3%

Long-Acting Rate

Brand vs Generic

53% generic

Brand: 12,006 claims · $3.5M

Generic: 13,430 claims · $358K

Patient Profile

75

Avg Age

56%

Female

1.01

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