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: 1128b4 · Date: 20250619 · State: MA
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
550
Total Claims
$77K
Drug Cost
60
Beneficiaries
$1,290
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 518 Preventive Medicine providers
+763%
Opioid rate vs peers
28.7% vs 3.3% avg
+22%
Cost per patient vs peers
$1,290 vs $1,053 avg
Opioid Prescribing
28.7%
Opioid Rate
158
Opioid Claims
$4,925
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 28.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 471 claims · $9,841
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Semaglutide | 19 | $21K |
| Dulaglutide | 19 | $19K |
| Oxycodone Hcl/Acetaminophen | 87 | $2,926 |
| Oxycodone Hcl | 60 | $1,488 |
| Lidocaine | 32 | $893 |
| Butalb/Acetaminophen/Caffeine | 11 | $501 |
| Gabapentin | 50 | $406 |
| Pregabalin | 19 | $339 |
| Pantoprazole Sodium | 18 | $244 |
| Lisinopril | 13 | $93 |
Prescribing Profile
Patient Profile
63
Avg Age
53%
Female
1.43
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About