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
740
Total Claims
$40K
Drug Cost
39
Beneficiaries
$1,037
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+812%
Opioid rate vs peers
23.5% vs 2.6% avg
-3%
Cost per patient vs peers
$1,037 vs $1,068 avg
+23%
Brand preference vs peers
11.1% vs 9.0% 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 prescribing rate is 812% above the average for Family Practice providers. While some providers legitimately treat pain-heavy populations, deviations of this magnitude are rare and warrant examination.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
23.5%
Opioid Rate
174
Opioid Claims
$5,514
Opioid Cost
21.8%
Long-Acting Rate
This provider's opioid prescribing rate of 23.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 82 claims · $21K
Generic: 658 claims · $19K
Patient Profile
68
Avg Age
—
Female
0.92
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