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: 10/20/2025 · State: IN
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
370
Total Claims
$51K
Drug Cost
27
Beneficiaries
$1,884
Cost/Patient
Risk Score Breakdown 51/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+302%
Opioid rate vs peers
37.8% vs 9.4% avg
+107%
Brand preference vs peers
3.1% vs 1.5% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 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.
Opioid rate is 302% above Emergency Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Composite risk score of 51/100 places this provider in the "High Risk" category — the top 0.017% of all Medicare Part D prescribers. Multiple independent risk factors are contributing simultaneously.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
37.8%
Opioid Rate
140
Opioid Claims
$42K
Opioid Cost
30.0%
Long-Acting Rate
This provider's opioid prescribing rate of 37.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 11 claims · $4,298
Generic: 347 claims · $46K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxymorphone Hcl | 23 | $35K |
| Oxycodone Hcl | 75 | $2,858 |
| Diclofenac Sodium | 18 | $1,801 |
| Oxycodone Hcl/Acetaminophen | 23 | $1,412 |
| Methadone Hcl | 12 | $814 |
| Ibuprofen | 25 | $354 |
| Doxycycline Hyclate | 12 | $341 |
| Pnv,calcium 72/Iron/Folic Acid | 12 | $232 |
| Amoxicillin/Potassium Clav | 14 | $212 |
| Omeprazole | 13 | $211 |
| Prednisone | 15 | $22 |
Prescribing Profile
11
Unique Drugs
51.0
Anomaly Score
Patient Profile
58
Avg Age
41%
Female
1.60
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