Predictive Analytics
Synthetic data only
Bayview Primary Care
Regional Health Network
Medicare Risk Provider Network
Last 3 months
Last 6 months
Last 12 months
All providers
Dr. Omar Garza
Dr. Ruth Brooks
Dr. Tomas Stone
Dr. Maya Patel
Dr. Maya Ellis
Dr. Iris Foster
Dr. Ruth Hayes
Dr. Lena Ortiz
ES
hospitalization
readmission
ED utilization
Demonstration only — not validated
Model status: synthetic heuristic · not evaluated · confidence low
Risk vs 12-month cost
Highest predicted risk — explainable drivers
Ada Ortiz
54%
Drivers: CKD stage 3 · Recent inpatient admission · 3 ED visits in 12 months · No open gaps
Diego Stone
53%
Drivers: Major depression · Recent inpatient admission · 2 ED visits in 12 months · 2 open care gaps
Lena Rivera
49%
Drivers: Heart failure · Recent inpatient admission · 4 ED visits in 12 months · No open gaps
Luis Garza
49%
Drivers: Major depression · Recent inpatient admission · Low ED use · 3 open care gaps
Grace Lowe
48%
Drivers: Morbid obesity · Recent inpatient admission · Low ED use · 2 open care gaps
Diego Moreno
46%
Drivers: Hypertension · Recent inpatient admission · Low ED use · 3 open care gaps
Omar Garza
45%
Drivers: Type 2 diabetes · Recent inpatient admission · Low ED use · 1 open care gaps
Ruth Quinn
42%
Drivers: Heart failure · No recent admission · Low ED use · 2 open care gaps
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