| Member | Age | Practice | Risk | 12-mo cost | ED visits | Care gaps | Discharge | Care mgmt | Last PCP |
|---|---|---|---|---|---|---|---|---|---|
Noah Martinez M-25890 | 59 | Community Health Partners | High | $175,700 | 6 | HbA1c | — | Enrolled | 2026-08-05 |
Emma Patel M-35152 | 45 | Community Health Partners | High | $163,200 | 3 | — | — | Enrolled | 2026-05-26 |
Ethan Patel M-29446 | 11 | Riverside Family Medicine | High | $162,700 | 5 | Well-childBH ED follow-up | — | Enrolled | 2026-05-11 |
Ethan Lopez M-38956 | 13 | Community Health Partners | High | $153,000 | 8 | — | — | Enrolled | 2026-01-12 |
James Garcia M-30116 | 67 | Northgate Primary Care | High | $138,200 | 1 | BP control | — | Enrolled | 2026-03-14 |
Luis Nguyen M-26630 | 36 | Community Health Partners | High | $122,000 | 5 | BP control | — | Enrolled | 2026-06-21 |
Grace Smith M-38145 | 9 | Community Health Partners | High | $116,800 | 7 | Immunizations | — | Enrolled | 2026-04-23 |
Aaliyah Garcia M-18524 | 55 | Lakeview Internal Medicine | High | $111,300 | 8 | HbA1cBH ED follow-up | Yes | No | 2026-04-22 |
Diego Brown M-17664 | 50 | Riverside Family Medicine | High | $95,400 | 4 | — | Yes | Enrolled | 2026-03-19 |
Chloe Johnson M-10699 | 63 | Lakeview Internal Medicine | High | $93,500 | 8 | BP control | Yes | No | 2026-09-27 |
Chloe Smith M-33817 | 28 | Riverside Family Medicine | High | $70,800 | 0 | HbA1c | Yes | Enrolled | 2026-01-03 |
Sofia Kim M-20497 | 73 | Northgate Primary Care | High | $64,200 | 8 | BH ED follow-up | Yes | Enrolled | 2026-06-09 |
Noah Lee M-33293 | 63 | Riverside Family Medicine | High | $63,800 | 8 | BP control | — | No | 2026-04-11 |
Jamal Garcia M-17582 | 22 | Community Health Partners | High | $53,300 | 5 | — | — | Enrolled | 2026-09-10 |
Ava Lopez M-36817 | 18 | Eastside Pediatrics | Rising | $37,900 | 2 | BP control | — | No | 2026-02-25 |
Emma Brown M-25931 | 21 | Community Health Partners | Rising | $36,800 | 0 | Prenatal | — | No | 2026-09-16 |
Jamal Kim M-15501 | 64 | Northgate Primary Care | Rising | $36,100 | 1 | BP control | — | No | 2026-06-15 |
Olivia Martinez M-14598 | 42 | Eastside Pediatrics | Rising | $35,000 | 1 | BP control | — | No | 2026-03-16 |
Malik Nguyen M-13370 | 70 | Riverside Family Medicine | Rising | $34,000 | 0 | — | — | No | 2026-08-11 |
Diego Lee M-37818 | 60 | Lakeview Internal Medicine | Rising | $31,500 | 0 | HbA1c | — | No | 2026-03-19 |
Malik Smith M-35000 | 4 | Eastside Pediatrics | Rising | $30,900 | 2 | — | — | Enrolled | 2026-03-19 |
Ethan Lopez M-25393 | 8 | Community Health Partners | Rising | $30,500 | 2 | — | — | No | 2026-09-21 |
Sofia Davis M-17813 | 3 | Northgate Primary Care | Rising | $30,300 | 1 | BH ED follow-up | — | No | 2026-04-24 |
Wei Williams M-36898 | 18 | Riverside Family Medicine | Rising | $30,200 | 1 | — | — | No | 2026-04-27 |
Ava Nguyen M-34142 | 44 | Community Health Partners | Rising | $30,100 | 0 | — | — | No | 2026-02-11 |
Wei Williams M-31150 | 64 | Eastside Pediatrics | Rising | $27,600 | 1 | BH ED follow-up | — | No | 2026-03-21 |
Maria Smith M-31523 | 4 | Riverside Family Medicine | Rising | $26,200 | 2 | ImmunizationsWell-child | — | No | 2026-07-03 |
Wei Nguyen M-14044 | 63 | Community Health Partners | Rising | $26,000 | 1 | — | — | No | 2026-07-02 |
Luis Davis M-22161 | 19 | Community Health Partners | Rising | $25,600 | 2 | HbA1cPrenatal | — | No | 2026-03-19 |
Ava Williams M-35456 | 24 | Lakeview Internal Medicine | Rising | $25,000 | 2 | — | — | No | 2026-01-27 |
Grace Williams M-20151 | 74 | Eastside Pediatrics | Rising | $24,300 | 1 | — | — | Enrolled | 2026-09-20 |
Wei Nguyen M-22395 | 8 | Community Health Partners | Rising | $23,300 | 2 | Well-child | — | No | 2026-08-05 |
James Lee M-23271 | 23 | Riverside Family Medicine | Rising | $22,300 | 0 | — | — | No | 2026-04-25 |
Ethan Davis M-11701 | 27 | Eastside Pediatrics | Rising | $20,700 | 2 | — | — | No | 2026-01-14 |
Olivia Garcia M-31681 | 41 | Eastside Pediatrics | Rising | $18,200 | 1 | HbA1cBP control | — | No | 2026-02-18 |
James Lee M-39844 | 74 | Northgate Primary Care | Rising | $17,700 | 0 | HbA1c | — | No | 2026-01-26 |
Sofia Brown M-35033 | 63 | Northgate Primary Care | Rising | $16,900 | 0 | BH ED follow-up | — | No | 2026-02-03 |
James Nguyen M-36529 | 44 | Riverside Family Medicine | Rising | $16,200 | 2 | BH ED follow-up | — | No | 2026-01-03 |
Diego Lopez M-14881 | 59 | Eastside Pediatrics | Rising | $16,000 | 2 | — | — | No | 2026-02-01 |
Olivia Williams M-27902 | 18 | Northgate Primary Care | Rising | $15,900 | 1 | BP controlPrenatal | — | No | 2026-03-18 |
Maria Lee M-16527 | 12 | Lakeview Internal Medicine | Rising | $14,700 | 2 | — | — | No | 2026-04-13 |
Aaliyah Davis M-34050 | 50 | Community Health Partners | Rising | $10,100 | 0 | BH ED follow-up | — | No | 2026-06-20 |
Luis Brown M-15793 | 29 | Eastside Pediatrics | Rising | $9,500 | 0 | BH ED follow-up | — | No | 2026-08-24 |
Emma Brown M-15680 | 42 | Riverside Family Medicine | Low | $6,400 | 2 | — | Yes | No | 2026-06-17 |
Aaliyah Brown M-22593 | 33 | Eastside Pediatrics | Low | $6,400 | 0 | BP controlPrenatal | — | No | 2026-04-02 |
Diego Garcia M-23888 | 63 | Community Health Partners | Low | $6,400 | 1 | HbA1cBH ED follow-up | — | No | 2026-07-16 |
Ethan Johnson M-25156 | 0 | Riverside Family Medicine | Low | $6,200 | 2 | BH ED follow-up | — | No | 2026-03-11 |
Luis Martinez M-10014 | 24 | Community Health Partners | Low | $6,100 | 1 | BP control | — | No | 2026-08-20 |
Grace Garcia M-10057 | 25 | Eastside Pediatrics | Low | $5,800 | 1 | — | — | No | 2026-09-15 |
Maria Lee M-16346 | 50 | Riverside Family Medicine | Low | $5,800 | 1 | — | — | Enrolled | 2026-03-08 |
Sofia Martinez M-17439 | 9 | Northgate Primary Care | Low | $5,500 | 2 | — | — | No | 2026-09-09 |
Emma Davis M-24919 | 60 | Lakeview Internal Medicine | Low | $5,400 | 1 | BP control | Yes | No | 2026-06-04 |
Malik Johnson M-38899 | 64 | Eastside Pediatrics | Low | $5,200 | 1 | HbA1c | — | No | 2026-05-24 |
Jamal Davis M-39369 | 7 | Lakeview Internal Medicine | Low | $5,200 | 0 | Immunizations | — | No | 2026-07-02 |
Grace Lee M-16404 | 18 | Eastside Pediatrics | Low | $4,300 | 0 | Prenatal | — | No | 2026-09-08 |
Noah Lee M-39805 | 72 | Community Health Partners | Low | $4,300 | 1 | — | — | No | 2026-09-16 |
Olivia Kim M-21452 | 42 | Eastside Pediatrics | Low | $4,000 | 2 | BP control | — | No | 2026-04-11 |
Maria Smith M-31307 | 66 | Community Health Partners | Low | $3,900 | 2 | BH ED follow-up | — | No | 2026-07-22 |
Chloe Lopez M-12052 | 20 | Lakeview Internal Medicine | Low | $3,000 | 2 | BP control | — | No | 2026-09-10 |
Wei Brown M-21648 | 24 | Eastside Pediatrics | Low | $2,800 | 2 | — | — | No | 2026-09-23 |
Noah Smith M-13387 | 0 | Lakeview Internal Medicine | Low | $2,700 | 2 | — | — | Enrolled | 2026-03-25 |
Noah Smith M-32855 | 28 | Northgate Primary Care | Low | $2,400 | 0 | BH ED follow-up | — | No | 2026-01-14 |
Malik Johnson M-37045 | 25 | Riverside Family Medicine | Low | $2,400 | 0 | BP control | — | No | 2026-05-12 |
James Johnson M-33655 | 44 | Eastside Pediatrics | Low | $2,200 | 0 | — | — | No | 2026-05-14 |
Grace Patel M-34717 | 43 | Eastside Pediatrics | Low | $2,100 | 0 | HbA1c | — | No | 2026-03-15 |
Sofia Lee M-13789 | 2 | Lakeview Internal Medicine | Low | $2,100 | 0 | — | Yes | No | 2026-06-06 |
Aaliyah Williams M-16468 | 42 | Eastside Pediatrics | Low | $2,100 | 2 | — | — | Enrolled | 2026-07-19 |
Jamal Kim M-33808 | 42 | Northgate Primary Care | Low | $2,000 | 1 | — | — | No | 2026-08-04 |
Olivia Smith M-25337 | 15 | Lakeview Internal Medicine | Low | $2,000 | 1 | — | — | No | 2026-03-21 |
Aaliyah Smith M-12438 | 68 | Lakeview Internal Medicine | Low | $1,900 | 2 | — | — | No | 2026-07-11 |
Chloe Lopez M-39020 | 4 | Northgate Primary Care | Low | $1,800 | 2 | — | — | No | 2026-09-02 |
Ava Nguyen M-27894 | 70 | Eastside Pediatrics | Low | $1,800 | 2 | BP control | — | No | 2026-01-22 |
Maria Smith M-35232 | 4 | Eastside Pediatrics | Low | $1,600 | 0 | ImmunizationsWell-child | — | No | 2026-07-23 |
Emma Brown M-33465 | 43 | Lakeview Internal Medicine | Low | $1,400 | 2 | — | — | No | 2026-02-04 |
Ava Johnson M-38573 | 36 | Eastside Pediatrics | Low | $1,300 | 0 | BH ED follow-up | — | No | 2026-04-13 |
Malik Smith M-28004 | 58 | Riverside Family Medicine | Low | $1,200 | 0 | — | — | No | 2026-02-25 |
Jamal Johnson M-10590 | 12 | Lakeview Internal Medicine | Low | $1,100 | 1 | Immunizations | — | No | 2026-09-26 |
Luis Lee M-14637 | 70 | Community Health Partners | Low | $900 | 0 | — | — | No | 2026-04-14 |
Diego Nguyen M-22976 | 59 | Community Health Partners | Low | $600 | 0 | BP control | Yes | No | 2026-02-21 |
Chloe Johnson M-12489 | 45 | Community Health Partners | Low | $600 | 0 | BP control | — | No | 2026-02-07 |
Sample data for demonstration.