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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 →

John JulianMD

Neuropsychiatry · Boston, MA 2114

NPI: 1013998483

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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

13,520

Total Claims

$656K

Drug Cost

411

Beneficiaries

$1,596

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. 1,619 Neuropsychiatry providers

+28%

Cost per patient vs peers

$1,596 vs $1,249 avg

-12%

Brand preference vs peers

4.7% vs 5.4% avg

Brand vs Generic

95% generic

Brand: 638 claims · $171K

Generic: 12,882 claims · $485K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Clozapine676$62K
Chlorpromazine Hcl84$43K
Aripiprazole207$41K
Olanzapine15$37K
Clomipramine Hcl168$33K
Risperidone Microspheres18$26K
Fluvoxamine Maleate599$24K
Quetiapine Fumarate69$23K
Divalproex Sodium461$22K
Quetiapine Fumarate510$21K
Olanzapine625$20K
Risperidone1,244$19K
Divalproex Sodium121$15K
Fluoxetine Hcl535$13K
Lorazepam1,282$11K

Prescribing Profile

55

Unique Drugs

17.0

Anomaly Score

Patient Profile

54

Avg Age

43%

Female

1.18

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