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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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Gangatharan MathisuthanM.D

Internal Medicine · Mullins, SC 29574

NPI: 1982668745

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21

🟡 Moderate

Risk Flags

Elevated cost per beneficiaryHigh antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

22,780

Total Claims

$3.6M

Drug Cost

604

Beneficiaries

$5,892

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
High fills per patient+5
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-11%

Opioid rate vs peers

2.0% vs 2.2% avg

+318%

Cost per patient vs peers

$5,892 vs $1,411 avg

+65%

Brand preference vs peers

17.5% vs 10.6% avg

Opioid Prescribing

2.0%

Opioid Rate

456

Opioid Claims

$3,995

Opioid Cost

Long-Acting Rate

Brand vs Generic

83% generic

Brand: 3,983 claims · $3.2M

Generic: 18,717 claims · $398K

Patient Profile

70

Avg Age

59%

Female

1.81

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