Dr. Urso engagement report
@richardursomd - 330K followers on X
Measured over 47 original posts from a 30-day window, last computed on October 10, 2026.
Engagement
A typical post picks up 34 interactions against 330K followers, an engagement rate of 0.01%. Measured over 47 original posts, its engagement rate beats 34% of 20,444 tracked accounts of a similar size, which puts it in the middle of its size range rather than at either end. Posts are seen about 2.1K times each, and 1.59% of those impressions turn into an interaction. That is about 0.649% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 2.5 posts a day over the last 30 days, though only 17% of days saw any activity at all. Most posts go out around 12:00 UTC, and Monday is the busiest day of the week. Of the 47 posts sampled, 94% carry an image or video. The account's strongest tracked post pulled 93K interactions, about 2734x its own typical post.
Measured over 47 original posts from a 30-day window, last computed on October 10, 2026.
Compared with accounts its own size
Dr. Urso's engagement rate beats 34% of the tracked X accounts closest to it in follower count (20,444 accounts, accounts of similar size (decile 10 of 10)). A percentile is spread evenly by construction, so 50 really is the middle of that group and 90 really is its top tenth.
On engagement per impression rather than per follower it beats 60% of the same group. When those two numbers disagree, the gap is about how far its posts travel rather than how people react to them.
Where this sits in the catalog
At 0.01%, Dr. Urso sits above the 10th percentile of the 205,374 accounts in this comparison. That places it in the bottom 25% band, which runs below 0.024%.
Show the percentile table
| Percentile | Engagement rate |
|---|---|
| 10th percentile | 0.004% |
| 25th percentile | 0.024% |
| 50th percentile | 0.143% |
| 75th percentile | 0.678% |
| 90th percentile | 2.55% |
| 99th percentile | 82.4% |
This ruler is the whole measured catalog, not a size-matched group: it shows where the raw rate falls across every account we can measure, all of which are large. For a like-for-like comparison, read the size-band percentile above instead. See how the bands are built
Posting timing
This account posts most often around 12:00 UTC, and Monday is its busiest day of the week. The bars below are the catalog-wide pattern, with this account's own busiest slot marked. They do not show how this account performs at each hour: we keep one aggregate per account, not one per hour, so that measurement does not exist in our data.
Show engagement by hour posted, utc as a table
| Hour (UTC) | Vs author median | Posts |
|---|---|---|
| 00:00 UTC | -1% | 89K |
| 01:00 UTC | -2% | 90K |
| 02:00 UTC | -3% | 88K |
| 03:00 UTC | -4% | 94K |
| 04:00 UTC | -5% | 76K |
| 05:00 UTC | -4% | 75K |
| 06:00 UTC | -5% | 86K |
| 07:00 UTC | -5% | 93K |
| 08:00 UTC | -4% | 108K |
| 09:00 UTC | -4% | 124K |
| 10:00 UTC | -3% | 129K |
| 11:00 UTC | -3% | 141K |
| 12:00 UTC | -3% | 154K |
| 13:00 UTC | -3% | 167K |
| 14:00 UTC | -4% | 173K |
| 15:00 UTC | -2% | 176K |
| 16:00 UTC | -3% | 171K |
| 17:00 UTC | -3% | 159K |
| 18:00 UTC | -2% | 149K |
| 19:00 UTC | -2% | 141K |
| 20:00 UTC | -1% | 131K |
| 21:00 UTC | 0% | 116K |
| 22:00 UTC | -2% | 100K |
| 23:00 UTC | -1% | 90K |
Show engagement by day of week as a table
| Day | Vs author median | Posts |
|---|---|---|
| Sunday | +5% | 393K |
| Monday | +1% | 483K |
| Tuesday | -2% | 520K |
| Wednesday | -3% | 472K |
| Thursday | -2% | 430K |
| Friday | -3% | 447K |
| Saturday | +2% | 393K |
Formats this account uses
Its own posting mix on the left, and what each of those formats does across every account we track on the right. Only formats where the effect clears our publish test appear here, so an empty row is a format we could not measure rather than one that does nothing.
| Format | This account | Catalog effect | 95% interval | Accounts behind it |
|---|---|---|---|---|
| Image or video | 94% of posts | +111% | +108% to +115% | 34K |
| Outbound link | 2% of posts | -41% | -42% to -40% | 32K |
| Typical length | - | -8% | -9% to -7% | 41K |
- 94% of this account's sampled posts carry an image or video. Across the catalog, posts with an image or video run 111% above the same accounts' other posts.
- 2% of its posts carry a link off X. Across the catalog, posts with an outbound link run 41% below the same accounts' other posts.
- Its average post runs 77 characters, which falls in the under 80 characters band. Across the catalog, posts under 80 characters run 8% below the same accounts' other posts.
These are catalog-wide differences applied to this account's own posting mix, not a measurement of how each format performs for this account specifically. We keep one median per account, not one per format per account, so the second thing is not something this data can tell you.
Best tweets
- Oct 18, 20202734x their median
It was a lie from the very beginning. We had treatment from Day one!!! https://t.co/aHt7BMjg7h
- Oct 7, 2026480x their median
STUDY: Topical Vitamin C in DMSO ELIMINATED 86.7% of the World’s Most Common Skin Cancer Within 8 Weeks A randomized trial reported COMPLETE RESOLUTION of nearly ALL basal cell carcinoma lesions treated with topical 30% ascorbic acid in DMSO. ANOTHER study found 56% of squamous cell carcinoma in situ lesions were eliminated after 12 weeks of topical vitamin C in DMSO. Both studies reported excellent tolerability, with NO treatment discontinuations due to adverse effects.
- Oct 9, 2026384x their median
We found COVID “vaccine” genetic code FUSED into chromosome 19 of a Stage IV turbo cancer victim. This is the first peer-reviewed study showing that COVID shot DNA can integrate into the human genome. Human beings should NOT have Pfizer or Moderna DNA in their tumors. https://t.co/0wGAOcA3MV
- Sep 2, 2026189x their median
COMPLETE REMISSIONS of Stage IV cancers with anti-parasitics are now being documented in the scientific literature. HUNDREDS of studies show ivermectin and mebendazole attack cancer through 12+ distinct mechanisms across 12+ cancer types. A recent study found nano-ivermectin SHRUNK glioblastoma brain tumors by 70% in just 10 days in rats. Ivermectin is also SAFER than Tylenol.
- Aug 31, 202663x their median
🚨Trump’s Amish autism post is lighting up X today — cheers on one side, reflexive “fact-checks” on the other. But everyone is missing the actual story. The Amish have among the lowest vaccination rates AND the lowest autism rates in the U.S. Both facts are on the peer-reviewed record. There’s a study that could answer why. It was buried. 🧵👇
- Sep 14, 202616x their median
So many are unaware of this and ridiculous https://t.co/g9tdnFIQNz
- Sep 14, 202614x their median
Ingredients and contaminants found within Apeel have now been linked to the most deadly brain disorder and cancers This including toxins solvent and heavy metals such as: Lead Arsenic Cadmium Mercury Apeel is a synthetic coating, funded by Bill Gates, which is sprayed onto fruit and vegetables to preserve them for longer
- Sep 3, 20265.1x their median
https://t.co/kQiOBNdnfI
- Oct 9, 20264.6x their median
Statins and Vaccines. https://t.co/ONMJBeTm8Y
- Sep 3, 20264.1x their median
https://t.co/HG3unEzpA2
Ranked by total interactions across everything we have tracked for this account, which is a longer history than the 30-day window the rates above use. The multiple compares each post to this account's own median.
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Reading these numbers
A typical post picks up 34 interactions against 330K followers, an engagement rate of 0.01%. Measured over 47 original posts, its engagement rate beats 34% of 20,444 tracked accounts of a similar size, which puts it in the middle of its size range rather than at either end. Posts are seen about 2.1K times each, and 1.59% of those impressions turn into an interaction. That is about 0.649% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 2.5 posts a day over the last 30 days, though only 17% of days saw any activity at all. Most posts go out around 12:00 UTC, and Monday is the busiest day of the week. Of the 47 posts sampled, 94% carry an image or video. The account's strongest tracked post pulled 93K interactions, about 2734x its own typical post.
- What is Dr. Urso's engagement rate on X?
- Dr. Urso (@richardursomd) has an engagement rate of 0.01%, based on the median interactions across 47 original posts from the last 30 days against 329,889 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
- Is that a good engagement rate?
- At 0.01%, Dr. Urso sits above the 10th percentile of the 205,374 accounts in this comparison. Those comparison accounts are all large ones, because our scanning cadence is weighted towards big accounts, so this is a ranking among peers of similar scale rather than a ranking across X.
- Does @richardursomd have real engagement?
- Its engagement rate beats 34% of the tracked X accounts closest to it in follower count (20,444 accounts), which puts it in the middle of its size range group. Ranking inside a size band matters because engagement rate falls as accounts grow, so a raw rate would mostly re-measure the follower count. It is a starting point for a look at follower quality, not a verdict on it.
- When does @richardursomd post?
- Most posts go out around 12:00 UTC, and Monday is its busiest day, at roughly 2.47 posts per day across the measured window.