⚠️

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 →

Paul SerraMD

Family Practice · Somerset, PA 15501

NPI: 1811938418

Share:

20

🟡 Moderate

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128(b)(4) — License Revocation/Suspension · Date: 05/20/2024 · State: PA

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

642

Total Claims

$140K

Drug Cost

184

Beneficiaries

$760

Cost/Patient

Risk Score Breakdown 20/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-29%

Cost per patient vs peers

$760 vs $1,068 avg

+158%

Brand preference vs peers

23.2% 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.

Brand vs Generic

77% generic

Brand: 145 claims · $127K

Generic: 479 claims · $12K

Patient Profile

75

Avg Age

52%

Female

1.30

Avg Risk Score

Explore More

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