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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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James MichailM.D.

Geriatric Medicine · Granada Hills, CA 91344

NPI: 1760879217

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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

24,006

Total Claims

$1.6M

Drug Cost

895

Beneficiaries

$1,832

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. 1,825 Geriatric Medicine providers

-67%

Opioid rate vs peers

0.9% vs 2.6% avg

+48%

Cost per patient vs peers

$1,832 vs $1,237 avg

+62%

Brand preference vs peers

14.9% vs 9.2% avg

Opioid Prescribing

0.9%

Opioid Rate

205

Opioid Claims

$2,454

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 3,549 claims · $1.2M

Generic: 20,307 claims · $477K

Patient Profile

80

Avg Age

61%

Female

2.52

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