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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 →

Terry BaulM.D.

Family Practice · Detroit, MI 48224

NPI: 1942375837

Share:

35

🟠 Elevated

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

Exclusion type: 1128a1 · Date: 20241120 · State:

Risk Flags

Elevated antipsychotic prescribing (65+)OIG Excluded ProviderExtreme fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

15,386

Total Claims

$1.2M

Drug Cost

383

Beneficiaries

$3,237

Cost/Patient

Risk Score Breakdown 35/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20
Elderly antipsychotic prescribing+5
High fills per patient+5

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+34%

Opioid rate vs peers

3.5% vs 2.6% avg

+203%

Cost per patient vs peers

$3,237 vs $1,068 avg

+12%

Brand preference vs peers

10.1% vs 9.0% avg

🔎 Data Overview

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This provider appears on the federal OIG exclusion list, meaning they have been formally barred from participating in federal healthcare programs due to fraud, patient abuse, licensing issues, or other misconduct. The fact that they still appear in active prescribing data is a significant concern.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

3.5%

Opioid Rate

532

Opioid Claims

$11K

Opioid Cost

Long-Acting Rate

Brand vs Generic

90% generic

Brand: 1,504 claims · $634K

Generic: 13,398 claims · $575K

Patient Profile

71

Avg Age

63%

Female

1.63

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