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 →🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128a4 · Date: 10/20/2025 · State: PA
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
418
Total Claims
$76K
Drug Cost
90
Beneficiaries
$848
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+40%
Opioid rate vs peers
57.7% vs 41.3% avg
+113%
Cost per patient vs peers
$848 vs $399 avg
+423%
Brand preference vs peers
19.6% vs 3.8% 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.
Prescribes only 7 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
57.7%
Opioid Rate
241
Opioid Claims
$73K
Opioid Cost
51.9%
Long-Acting Rate
This provider's opioid prescribing rate of 57.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 82 claims · $57K
Generic: 336 claims · $20K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine Hcl | 51 | $36K |
| Buprenorphine | 45 | $18K |
| Oxycodone Hcl | 16 | $10K |
| Gabapentin | 139 | $1,975 |
| Tramadol Hcl | 50 | $1,113 |
| Oxycodone Hcl | 33 | $766 |
| Oxycodone Hcl/Acetaminophen | 16 | $352 |
| Methadone Hcl | 13 | $294 |
Prescribing Profile
7
Unique Drugs
41.0
Anomaly Score
Patient Profile
71
Avg Age
61%
Female
1.21
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