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 →45
🟠 Elevated
🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128a3 · Date: 05/20/2025 · State: AL
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
134
Total Claims
$5,341
Drug Cost
17
Beneficiaries
$314
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+247%
Opioid rate vs peers
70.1% vs 20.2% avg
-31%
Cost per patient vs peers
$314 vs $455 avg
🔎 Data Overview
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.
Opioid rate is 247% above Physical Medicine and Rehabilitation peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 5 unique drugs with a 70.1% opioid rate. Very low drug diversity combined with high opioid prescribing is a classic statistical marker of potential pill mill operations. However, some legitimate practices (e.g., addiction treatment with buprenorphine) can show similar patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
70.1%
Opioid Rate
94
Opioid Claims
$4,353
Opioid Cost
21.3%
Long-Acting Rate
This provider's opioid prescribing rate of 70.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 129 claims · $3,670
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 38 | $768 |
| Morphine Sulfate | 13 | $698 |
| Hydrocodone/Acetaminophen | 21 | $381 |
| Hydromorphone Hcl | 13 | $331 |
| Promethazine Hcl | 12 | $56 |
Prescribing Profile
5
Unique Drugs
45.0
Anomaly Score
Patient Profile
58
Avg Age
—
Female
2.20
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 of wrongdoing.Methodology · About · Dispute this data