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DR
Darnell Reyes
High RiskSyntheticP-1414 · 84 y/o · Male · ACO Shared Savings · Northeast · PCP Dr. Morgan · Member since 2017
98
Sample riskMock model
$2220
Cost PMPMClaims
ConditionsClinical
- Asthma
- COPD
- Depression
Recent utilizationUtilization
Last 12 months
2
Admissions
3
ED visits
Yes
30d readmit
MedicationsPharmacy
- Fluticasone inhaler BID
- Tiotropium inhaler daily
- Albuterol PRN
- Sertraline 50mg daily
Open care gapsQuality
- Post-discharge follow-upOpen
- Annual wellness visitOpen
- Statin therapy reviewOpen
20-year illustrative historyLongitudinal (synthetic)
Annual encounters and cost
Care manager review
Manual approval required before outreach
Current role: Executive. Approval requires Care Manager or Clinical Reviewer.
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