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: 12/19/2024 · State: CA
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,136
Total Claims
$242K
Drug Cost
162
Beneficiaries
$1,492
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
-1%
Opioid rate vs peers
2.6% vs 2.6% avg
+40%
Cost per patient vs peers
$1,492 vs $1,068 avg
+61%
Brand preference vs peers
14.5% 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.
Opioid Prescribing
2.6%
Opioid Rate
80
Opioid Claims
$2,530
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 450 claims · $158K
Generic: 2,662 claims · $82K
Patient Profile
79
Avg Age
54%
Female
1.26
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