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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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Utibe EffiongMBBCH

Internal Medicine · Mt Pleasant, MI 48858

NPI: 1104210582

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20

🟡 Moderate

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128a1 · Date: 20251218 · State: FL

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

325

Total Claims

$19K

Drug Cost

168

Beneficiaries

$115

Cost/Patient

Risk Score Breakdown 20/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-92%

Cost per patient vs peers

$115 vs $1,411 avg

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 278 claims · $5,868

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Ipratropium Bromide48$1,362
Rosuvastatin Calcium12$173
Levothyroxine Sodium16$171

Prescribing Profile

3

Unique Drugs

20.0

Anomaly Score

Patient Profile

67

Avg Age

64%

Female

1.07

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