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(b)(4) — License Revocation/Suspension · Date: 12/19/2024 · State: CA
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
253
Total Claims
$30K
Drug Cost
64
Beneficiaries
$471
Cost/Patient
Risk Score Breakdown 20/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-56%
Cost per patient vs peers
$471 vs $1,068 avg
+124%
Brand preference vs peers
20.2% 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: 51 claims · $23K
Generic: 202 claims · $7,610
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Icosapent Ethyl | 17 | $4,460 |
| Fenofibrate | 13 | $564 |
| Levothyroxine Sodium | 22 | $374 |
| Rosuvastatin Calcium | 11 | $244 |
| Estradiol | 13 | $172 |
Prescribing Profile
5
Unique Drugs
20.0
Anomaly Score
Patient Profile
73
Avg Age
61%
Female
1.06
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