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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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Ketan HiraparaMD

Psychiatry · Edison, NJ 08837

NPI: 1346602562

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37

🟠 Elevated

Risk Flags

Extreme opioid rate vs specialty peersHigh antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

3,434

Total Claims

$158K

Drug Cost

333

Beneficiaries

$474

Cost/Patient

Risk Score Breakdown 37/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
Elderly antipsychotic prescribing+10

Score components are additive. Read full methodology

Peer Comparison vs. 21,141 Psychiatry providers

-72%

Cost per patient vs peers

$474 vs $1,696 avg

-46%

Brand preference vs peers

2.7% vs 5.0% avg

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

Opioid Prescribing

17.8%

Opioid Rate

612

Opioid Claims

$32K

Opioid Cost

10.0%

Long-Acting Rate

Brand vs Generic

97% generic

Brand: 92 claims · $65K

Generic: 3,342 claims · $92K

Patient Profile

69

Avg Age

64%

Female

1.56

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