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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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Walter DuffyMD

Psychiatry · Lincoln, NE 68510

NPI: 1093853368

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18

🟡 Moderate

Risk Flags

Elevated cost per beneficiaryHigh antipsychotic prescribing (65+)High fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

11,800

Total Claims

$2.6M

Drug Cost

522

Beneficiaries

$5,050

Cost/Patient

Risk Score Breakdown 18/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Cost per patient outlier+3
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 21,141 Psychiatry providers

+198%

Cost per patient vs peers

$5,050 vs $1,696 avg

+142%

Brand preference vs peers

11.9% vs 5.0% avg

Brand vs Generic

88% generic

Brand: 1,410 claims · $2.2M

Generic: 10,390 claims · $396K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Paliperidone Palmitate127$447K
Aripiprazole Lauroxil119$428K
Lumateperone Tosylate172$284K
Aripiprazole69$202K
Cariprazine Hcl130$192K
Valbenazine Tosylate24$187K
Paliperidone Palmitate11$109K
Brexpiprazole57$75K
Lurasidone Hcl32$56K
Lisdexamfetamine Dimesylate110$43K
Aripiprazole402$33K
Lurasidone Hcl74$30K
Suvorexant61$29K
Olanzapine/Samidorphan Malate15$24K
Desvenlafaxine Succinate359$22K

Prescribing Profile

82

Unique Drugs

18.0

Anomaly Score

Patient Profile

58

Avg Age

54%

Female

1.33

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