⚠️

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 →

Jill BlumenthalM.D.

Infectious Disease · San Diego, CA 92103

NPI: 1336308378

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36

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peersElevated cost per beneficiaryHigh long-acting opioid rate vs peers

Risk indicators are statistical patterns, not allegations. Learn more

802

Total Claims

$732K

Drug Cost

48

Beneficiaries

$15K

Cost/Patient

Risk Score Breakdown 36/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Long-acting opioid rate+8
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 5,387 Infectious Disease providers

+91%

Cost per patient vs peers

$15K vs $8,010 avg

+59%

Brand preference vs peers

33.9% vs 21.3% avg

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

Opioid Prescribing

9.4%

Opioid Rate

75

Opioid Claims

$38K

Opioid Cost

42.7%

Long-Acting Rate

Brand vs Generic

66% generic

Brand: 272 claims · $680K

Generic: 530 claims · $52K

Patient Profile

63

Avg Age

Female

1.54

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