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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.

Read our methodology →

Herbert OrensteinMD

Psychiatry & Neurology · Seattle, WA 98104

NPI: 1003020389

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13

🟢 Low

Risk Flags

High antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

662

Total Claims

$35K

Drug Cost

34

Beneficiaries

$1,015

Cost/Patient

Risk Score Breakdown 13/100

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. 10,307 Psychiatry & Neurology providers

-23%

Cost per patient vs peers

$1,015 vs $1,323 avg

+8%

Brand preference vs peers

5.4% vs 5.0% avg

Brand vs Generic

95% generic

Brand: 36 claims · $13K

Generic: 626 claims · $21K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Dextroamphetamine Sulfate19$2,412
Imipramine Hcl11$1,440
Bupropion Hcl22$1,421
Clozapine12$1,182
Aripiprazole26$1,053
Ziprasidone Hcl19$881
Venlafaxine Hcl41$767
Clonazepam41$740
Alprazolam54$689
Sertraline Hcl30$682
Quetiapine Fumarate12$661
Venlafaxine Hcl21$644
Lamotrigine25$553
Mirtazapine15$550
Fluconazole13$504

Prescribing Profile

24

Unique Drugs

13.0

Anomaly Score

Patient Profile

68

Avg Age

50%

Female

1.31

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.Methodology · About