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: MI
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,954
Total Claims
$84K
Drug Cost
67
Beneficiaries
$1,252
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+199%
Opioid rate vs peers
6.7% vs 2.2% avg
-11%
Cost per patient vs peers
$1,252 vs $1,411 avg
-31%
Brand preference vs peers
7.3% 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
6.7%
Opioid Rate
198
Opioid Claims
$3,840
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 213 claims · $56K
Generic: 2,687 claims · $26K
Patient Profile
69
Avg Age
55%
Female
1.30
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