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: BRCH SA · Date: 20250306 · State: TX
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
377
Total Claims
$8,414
Drug Cost
39
Beneficiaries
$216
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+895%
Opioid rate vs peers
22.3% vs 2.2% avg
-85%
Cost per patient vs peers
$216 vs $1,411 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
22.3%
Opioid Rate
84
Opioid Claims
$3,188
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 22.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 377 claims · $8,414
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 73 | $2,918 |
| Esomeprazole Magnesium | 45 | $2,091 |
| Naproxen | 50 | $611 |
| Gabapentin | 34 | $417 |
| Ibuprofen | 24 | $309 |
| Carisoprodol | 21 | $287 |
| Diclofenac Sodium | 13 | $272 |
| Baclofen | 15 | $263 |
| Cyclobenzaprine Hcl | 14 | $108 |
| Omeprazole | 16 | $89 |
| Lisinopril | 11 | $26 |
Prescribing Profile
11
Unique Drugs
38.0
Anomaly Score
Patient Profile
61
Avg Age
49%
Female
1.59
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.Methodology · About