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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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Umair MalikM.D

Nephrology · Thorndale, PA 19372

NPI: 1770679938

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32

🟠 Elevated

Risk Flags

Very high opioid rate vs specialty peersHigh antipsychotic prescribing (65+)

Risk indicators are statistical patterns, not allegations. Learn more

10,855

Total Claims

$1.3M

Drug Cost

628

Beneficiaries

$2,037

Cost/Patient

Risk Score Breakdown 32/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+18
Elderly antipsychotic prescribing+10

Score components are additive. Read full methodology

Peer Comparison vs. 8,961 Nephrology providers

+59%

Cost per patient vs peers

$2,037 vs $1,283 avg

+52%

Brand preference vs peers

13.6% vs 9.0% avg

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

Opioid Prescribing

9.1%

Opioid Rate

991

Opioid Claims

$27K

Opioid Cost

2.9%

Long-Acting Rate

Brand vs Generic

86% generic

Brand: 1,469 claims · $1.0M

Generic: 9,311 claims · $242K

Patient Profile

71

Avg Age

55%

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