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: 1128a1 · Date: 20240418 · State: CA
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
177
Total Claims
$18K
Drug Cost
40
Beneficiaries
$459
Cost/Patient
Risk Score Breakdown 20/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
-67%
Cost per patient vs peers
$459 vs $1,411 avg
+63%
Brand preference vs peers
17.3% vs 10.6% avg
Brand vs Generic
Brand: 28 claims · $11K
Generic: 134 claims · $6,642
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Progesterone, Micronized | 42 | $2,086 |
| Hydrocortisone | 12 | $198 |
| Metformin Hcl | 12 | $105 |
Prescribing Profile
3
Unique Drugs
20.0
Anomaly Score
Patient Profile
72
Avg Age
—
Female
0.94
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