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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.

Read our methodology →

Jeffrey SuttonD.O.

Internal Medicine · Niles, OH 44446

NPI: 1477511939

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23

🟡 Moderate

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

Exclusion type: 1128a1 · Date: 20240118 · State: PA

Risk Flags

OIG Excluded ProviderHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

258

Total Claims

$9,613

Drug Cost

13

Beneficiaries

$739

Cost/Patient

Risk Score Breakdown 23/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-48%

Cost per patient vs peers

$739 vs $1,411 avg

+39%

Brand preference vs peers

14.7% vs 10.6% avg

Brand vs Generic

85% generic

Brand: 38 claims · $4,191

Generic: 220 claims · $5,421

Patient Profile

69

Avg Age

Female

2.94

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