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: 1128(a)(1) — Felony Conviction · Date: 10/19/2023 · State: IL
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
155
Total Claims
$10K
Drug Cost
24
Beneficiaries
$432
Cost/Patient
Risk Score Breakdown 20/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-60%
Cost per patient vs peers
$432 vs $1,068 avg
+106%
Brand preference vs peers
18.5% vs 9.0% 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
Brand: 25 claims · $6,302
Generic: 110 claims · $2,703
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Gabapentin | 16 | $268 |
| Carvedilol | 14 | $265 |
| Hydrochlorothiazide | 11 | $96 |
Prescribing Profile
3
Unique Drugs
20.0
Anomaly Score
Patient Profile
73
Avg Age
—
Female
1.55
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