⚠️

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 →

Raymund DamianMD

Internal Medicine · San Rafael, CA 94903

NPI: 1245304567

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44

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peers95th percentile opioid prescribingElevated long-acting opioid rateElevated antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

957

Total Claims

$29K

Drug Cost

202

Beneficiaries

$145

Cost/Patient

Risk Score Breakdown 44/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Opioid rate (national percentile)+10
Elderly antipsychotic prescribing+5
Long-acting opioid rate+4

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+2337%

Opioid rate vs peers

54.5% vs 2.2% avg

-90%

Cost per patient vs peers

$145 vs $1,411 avg

-43%

Brand preference vs peers

6.1% vs 10.6% avg

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

🔎 Data Overview

⚠️

Opioid prescribing rate is 2,337% above the average for Internal Medicine providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

54.5%

Opioid Rate

522

Opioid Claims

$17K

Opioid Cost

17.8%

Long-Acting Rate

This provider's opioid prescribing rate of 54.5% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

94% generic

Brand: 58 claims · $7,642

Generic: 899 claims · $22K

Patient Profile

78

Avg Age

44%

Female

2.25

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