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 →20
🟡 Moderate
🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128(a)(1) — Felony Conviction · Date: 11/20/2024 · State: IL
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
325
Total Claims
$33K
Drug Cost
145
Beneficiaries
$228
Cost/Patient
Risk Score Breakdown 20/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+161%
Opioid rate vs peers
5.8% vs 2.2% avg
-84%
Cost per patient vs peers
$228 vs $1,411 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.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
5.8%
Opioid Rate
19
Opioid Claims
$72
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 278 claims · $3,758
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Pantoprazole Sodium | 17 | $156 |
| Clopidogrel Bisulfate | 12 | $98 |
| Carvedilol | 13 | $89 |
| Prednisone | 17 | $78 |
| Furosemide | 13 | $34 |
Prescribing Profile
5
Unique Drugs
20.0
Anomaly Score
Patient Profile
71
Avg Age
59%
Female
3.47
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