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
2,708
Total Claims
$198K
Drug Cost
345
Beneficiaries
$574
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+142%
Opioid rate vs peers
6.2% vs 2.6% avg
-46%
Cost per patient vs peers
$574 vs $1,068 avg
+8%
Brand preference vs peers
9.7% 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
6.2%
Opioid Rate
169
Opioid Claims
$4,226
Opioid Cost
8.3%
Long-Acting Rate
Brand vs Generic
Brand: 260 claims · $140K
Generic: 2,412 claims · $57K
Patient Profile
75
Avg Age
43%
Female
1.16
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