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: 20241020 · State: CA
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
249
Total Claims
$10K
Drug Cost
64
Beneficiaries
$161
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+679%
Opioid rate vs peers
19.3% vs 2.5% avg
-86%
Cost per patient vs peers
$161 vs $1,128 avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
Opioid Prescribing
19.3%
Opioid Rate
48
Opioid Claims
$2,239
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 239 claims · $4,730
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 24 | $689 |
| Quetiapine Fumarate | 12 | $311 |
| Clonazepam | 19 | $242 |
| Cephalexin | 14 | $236 |
| Cyclobenzaprine Hcl | 11 | $137 |
| Azithromycin | 12 | $59 |
| Furosemide | 12 | $38 |
Prescribing Profile
7
Unique Drugs
41.0
Anomaly Score
Patient Profile
72
Avg Age
61%
Female
0.91
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