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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 ToothmanD.O.

Internal Medicine · Hurricane, WV 25526

NPI: 1992758411

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17

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

58,707

Total Claims

$4.0M

Drug Cost

1,241

Beneficiaries

$3,221

Cost/Patient

Risk Score Breakdown 17/100

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

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+95%

Opioid rate vs peers

4.4% vs 2.2% avg

+128%

Cost per patient vs peers

$3,221 vs $1,411 avg

+89%

Brand preference vs peers

20.1% vs 10.6% avg

Opioid Prescribing

4.4%

Opioid Rate

2,560

Opioid Claims

$48K

Opioid Cost

5.9%

Long-Acting Rate

Brand vs Generic

80% generic

Brand: 11,689 claims · $2.7M

Generic: 46,578 claims · $1.3M

Patient Profile

77

Avg Age

64%

Female

2.51

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