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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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Pradyumna PadivalM.D.,F.A.C.C.

Internal Medicine · Mansfield, OH 44907

NPI: 1851321806

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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

19,340

Total Claims

$1.2M

Drug Cost

769

Beneficiaries

$1,597

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

+81%

Opioid rate vs peers

4.1% vs 2.2% avg

+13%

Cost per patient vs peers

$1,597 vs $1,411 avg

-2%

Brand preference vs peers

10.5% vs 10.6% avg

Opioid Prescribing

4.1%

Opioid Rate

785

Opioid Claims

$9,507

Opioid Cost

2.7%

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 2,017 claims · $876K

Generic: 17,249 claims · $349K

Patient Profile

77

Avg Age

55%

Female

1.91

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