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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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Jilin BaiM.D.

General Surgery · Santa Clarita, CA 91355

NPI: 1003102856

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5

🟢 Low

Risk Flags

Elevated antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

2,991

Total Claims

$268K

Drug Cost

282

Beneficiaries

$949

Cost/Patient

Risk Score Breakdown 5/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+5

Score components are additive. Read full methodology

Peer Comparison vs. 13,124 General Surgery providers

-96%

Opioid rate vs peers

1.1% vs 30.2% avg

+276%

Cost per patient vs peers

$949 vs $253 avg

+211%

Brand preference vs peers

15.5% vs 5.0% avg

Opioid Prescribing

1.1%

Opioid Rate

33

Opioid Claims

$252

Opioid Cost

Long-Acting Rate

Brand vs Generic

85% generic

Brand: 462 claims · $184K

Generic: 2,510 claims · $83K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban114$45K
Empagliflozin24$28K
Sitagliptin Phosphate42$16K
Linagliptin12$15K
Rivaroxaban28$7,405
Ertapenem Sodium11$4,404
Lipase/Protease/Amylase24$3,538
Atorvastatin Calcium211$3,266
Pantoprazole Sodium74$3,061
Aripiprazole11$2,725
Dexlansoprazole20$2,617
Tamsulosin Hcl110$2,495
Imipenem/Cilastatin Sodium16$2,415
Megestrol Acetate11$1,703
Amlodipine Besylate149$1,689

Prescribing Profile

71

Unique Drugs

$96K

IRA Negotiated Drugs

5.0

Anomaly Score

Patient Profile

80

Avg Age

51%

Female

2.49

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