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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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Susan DowneyM.D.

Internal Medicine · Fresno, CA 93711

NPI: 1750300661

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22

🟡 Moderate

Risk Flags

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

32,972

Total Claims

$1.0M

Drug Cost

446

Beneficiaries

$2,254

Cost/Patient

Risk Score Breakdown 22/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+108%

Opioid rate vs peers

4.6% vs 2.2% avg

+60%

Cost per patient vs peers

$2,254 vs $1,411 avg

+2%

Brand preference vs peers

10.8% vs 10.6% avg

Opioid Prescribing

4.6%

Opioid Rate

1,533

Opioid Claims

$30K

Opioid Cost

16.6%

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 3,555 claims · $694K

Generic: 29,334 claims · $304K

Patient Profile

81

Avg Age

60%

Female

2.01

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