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: 01/20/2026 · State: WI
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
283
Total Claims
$22K
Drug Cost
42
Beneficiaries
$516
Cost/Patient
Risk Score Breakdown 28/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+342%
Opioid rate vs peers
9.9% vs 2.2% avg
-63%
Cost per patient vs peers
$516 vs $1,411 avg
-9%
Brand preference vs peers
9.7% 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.
Opioid rate is 342% above Internal Medicine peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
9.9%
Opioid Rate
28
Opioid Claims
$11K
Opioid Cost
46.4%
Long-Acting Rate
Brand vs Generic
Brand: 26 claims · $15K
Generic: 243 claims · $6,688
Patient Profile
69
Avg Age
71%
Female
0.93
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