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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 →

James HeromanM.D.

Ophthalmology · Charlotte, NC 28211

NPI: 1053454009

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20

🟡 Moderate

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

Exclusion type: 1128a1 · Date: 20230720 · State: SC

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

210

Total Claims

$17K

Drug Cost

69

Beneficiaries

$248

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. 17,757 Ophthalmology providers

-59%

Cost per patient vs peers

$248 vs $600 avg

+35%

Brand preference vs peers

49.5% vs 36.7% avg

Brand vs Generic

51% generic

Brand: 104 claims · $12K

Generic: 106 claims · $4,933

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Prednisolone Acetate51$1,452
Ketorolac Tromethamine25$415
Latanoprost32$384
Dorzolamide Hcl19$351

Prescribing Profile

4

Unique Drugs

20.0

Anomaly Score

Patient Profile

78

Avg Age

59%

Female

1.28

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