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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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Jamie GarfieldMD

Internal Medicine · Philadelphia, PA 19140

NPI: 1003025461

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11

🟢 Low

Risk Flags

Elevated cost per beneficiaryExtreme brand-name preference

Risk indicators are statistical patterns, not allegations. Learn more

1,056

Total Claims

$874K

Drug Cost

120

Beneficiaries

$7,286

Cost/Patient

Risk Score Breakdown 11/100

Low (0)Moderate (15)Elevated (30)High (50+)
Brand-name preference+8
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+416%

Cost per patient vs peers

$7,286 vs $1,411 avg

+841%

Brand preference vs peers

100.0% vs 10.6% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Brand vs Generic

0% generic

Brand: 676 claims · $754K

Generic: 0 claims · $0

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Nintedanib Esylate25$328K
Omalizumab26$109K
Fluticasone/Umeclidin/Vilanter88$80K
Umeclidinium Brm/Vilanterol Tr107$60K
Pirfenidone11$53K
Fluticasone/Vilanterol59$29K
Tiotropium Bromide36$20K
Budesonide/Formoterol Fumarate35$19K
Tiotropium Bromide26$16K
Umeclidinium Bromide32$15K
Tiotropium Br/Olodaterol Hcl14$15K
Varenicline Tartrate22$7,293
Albuterol Sulfate163$5,598
Roflumilast21$3,844
Mometasone/Formoterol11$3,730

Prescribing Profile

19

Unique Drugs

11.0

Anomaly Score

Patient Profile

72

Avg Age

63%

Female

2.08

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