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: 08/20/2025 · State: TX
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
11,956
Total Claims
$2.8M
Drug Cost
624
Beneficiaries
$4,548
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-18%
Opioid rate vs peers
2.1% vs 2.6% avg
+326%
Cost per patient vs peers
$4,548 vs $1,068 avg
+157%
Brand preference vs peers
23.1% 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.
Opioid Prescribing
2.1%
Opioid Rate
252
Opioid Claims
$1,401
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 2,708 claims · $2.6M
Generic: 9,017 claims · $215K
Patient Profile
68
Avg Age
60%
Female
1.52
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