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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 →

Jesse CohenMD

Internal Medicine · Sandy Hook, CT 06482

NPI: 1568725273

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30

🟠 Elevated

Risk Flags

Elevated cost per beneficiaryHigh long-acting opioid rate vs peersHigh antipsychotic prescribing (65+)Extreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

46,611

Total Claims

$4.7M

Drug Cost

931

Beneficiaries

$5,100

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Long-acting opioid rate+8
High fills per patient+5
Cost per patient outlier+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-86%

Opioid rate vs peers

0.3% vs 2.2% avg

+261%

Cost per patient vs peers

$5,100 vs $1,411 avg

+86%

Brand preference vs peers

19.8% vs 10.6% avg

Opioid Prescribing

0.3%

Opioid Rate

147

Opioid Claims

$7,111

Opioid Cost

45.6%

Long-Acting Rate

Brand vs Generic

80% generic

Brand: 9,201 claims · $3.6M

Generic: 37,276 claims · $1.2M

Patient Profile

81

Avg Age

67%

Female

2.52

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