⚠️

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 →

Cesar Pena-RodriguezMD

Internal Medicine · Garland, TX 75041

NPI: 1073576435

Share:

20

🟡 Moderate

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128a4 · Date: 03/20/2025 · State: AR

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

220

Total Claims

$47K

Drug Cost

21

Beneficiaries

$2,231

Cost/Patient

Risk Score Breakdown 20/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+58%

Cost per patient vs peers

$2,231 vs $1,411 avg

+37%

Brand preference vs peers

14.5% vs 10.6% 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.

Brand vs Generic

86% generic

Brand: 32 claims · $40K

Generic: 188 claims · $7,100

Patient Profile

69

Avg Age

Female

1.38

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