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: 11/20/2024 · State: TN
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
291
Total Claims
$763K
Drug Cost
38
Beneficiaries
$20K
Cost/Patient
Risk Score Breakdown 23/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,387 Infectious Disease providers
+151%
Cost per patient vs peers
$20K vs $8,010 avg
+218%
Brand preference vs peers
67.7% vs 21.3% 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.
Brand vs Generic
Brand: 197 claims · $744K
Generic: 94 claims · $19K
Patient Profile
64
Avg Age
47%
Female
3.09
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