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: 04/18/2024 · State: TX
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
434
Total Claims
$41K
Drug Cost
143
Beneficiaries
$285
Cost/Patient
Risk Score Breakdown 28/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+301%
Opioid rate vs peers
9.0% vs 2.2% avg
-80%
Cost per patient vs peers
$285 vs $1,411 avg
+3%
Brand preference vs peers
10.9% vs 10.6% avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 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 301% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
9.0%
Opioid Rate
39
Opioid Claims
$558
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 46 claims · $34K
Generic: 375 claims · $5,781
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Rosuvastatin Calcium | 18 | $441 |
| Atorvastatin Calcium | 43 | $432 |
| Tramadol Hcl/Acetaminophen | 11 | $424 |
| Omeprazole | 16 | $247 |
| Metformin Hcl | 11 | $242 |
| Lisinopril | 24 | $204 |
| Metformin Hcl | 14 | $107 |
| Alprazolam | 22 | $105 |
| Acetaminophen With Codeine | 17 | $97 |
| Tramadol Hcl | 11 | $37 |
| Clonazepam | 11 | $23 |
Prescribing Profile
10
Unique Drugs
28.0
Anomaly Score
Patient Profile
72
Avg Age
44%
Female
1.32
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