⚠️

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 JenisonMD

Internal Medicine · Evansville, IN 47710

NPI: 1174511356

Share:

20

🟡 Moderate

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

Exclusion type: 1128b4 · Date: 20231120 · State: IN

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

665

Total Claims

$49K

Drug Cost

114

Beneficiaries

$429

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. 110,156 Internal Medicine providers

-70%

Cost per patient vs peers

$429 vs $1,411 avg

+13%

Brand preference vs peers

12.0% vs 10.6% avg

🔎 Data Overview

🚫

This provider appears on the federal OIG exclusion list, meaning they have been formally barred from participating in federal healthcare programs due to fraud, patient abuse, licensing issues, or other misconduct. The fact that they still appear in active prescribing data is a significant concern.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Brand vs Generic

88% generic

Brand: 78 claims · $37K

Generic: 572 claims · $12K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Rosuvastatin Calcium12$754
Atorvastatin Calcium26$560
Omeprazole31$465
Levothyroxine Sodium43$462
Metoprolol Succinate16$320
Oxcarbazepine18$313
Metformin Hcl19$273
Lisinopril17$252
Albuterol Sulfate18$225
Metformin Hcl15$195
Losartan Potassium20$192
Montelukast Sodium17$169
Sertraline Hcl13$154
Alprazolam11$133
Meloxicam12$98

Prescribing Profile

17

Unique Drugs

20.0

Anomaly Score

Patient Profile

73

Avg Age

56%

Female

0.93

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