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: 12/19/2024 · State: MO
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,307
Total Claims
$502K
Drug Cost
476
Beneficiaries
$1,055
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-56%
Opioid rate vs peers
1.0% vs 2.2% avg
-25%
Cost per patient vs peers
$1,055 vs $1,411 avg
+25%
Brand preference vs peers
13.3% vs 10.6% 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
1.0%
Opioid Rate
52
Opioid Claims
$1,312
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 699 claims · $394K
Generic: 4,576 claims · $107K
Patient Profile
73
Avg Age
63%
Female
2.77
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