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: 1128b3 · Date: 12/19/2024 · State: NV
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,369
Total Claims
$178K
Drug Cost
307
Beneficiaries
$579
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 2,621 Pain Management providers
+33%
Opioid rate vs peers
55.0% vs 41.3% avg
+45%
Cost per patient vs peers
$579 vs $399 avg
+24%
Brand preference vs peers
4.7% vs 3.8% 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
55.0%
Opioid Rate
1,852
Opioid Claims
$86K
Opioid Cost
19.9%
Long-Acting Rate
This provider's opioid prescribing rate of 55.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 157 claims · $60K
Generic: 3,212 claims · $118K
Patient Profile
65
Avg Age
58%
Female
1.67
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