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: 11/20/2024 · State: CA
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
195
Total Claims
$13K
Drug Cost
18
Beneficiaries
$714
Cost/Patient
Risk Score Breakdown 20/100
Score components are additive. Read full methodology
Peer Comparison vs. 988 Specialist providers
-16%
Cost per patient vs peers
$714 vs $856 avg
+150%
Brand preference vs peers
20.5% vs 8.2% 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: 40 claims · $10K
Generic: 155 claims · $2,860
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Estradiol | 14 | $1,790 |
| Estradiol | 12 | $420 |
| Valacyclovir Hcl | 13 | $268 |
| Alprazolam | 22 | $153 |
| Gabapentin | 15 | $147 |
| Zolpidem Tartrate | 16 | $145 |
| Carisoprodol | 12 | $92 |
Prescribing Profile
6
Unique Drugs
20.0
Anomaly Score
Patient Profile
76
Avg Age
—
Female
0.71
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