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: 20240820 · State: TX
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
182
Total Claims
$3,965
Drug Cost
81
Beneficiaries
$49
Cost/Patient
Risk Score Breakdown 20/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,389 General Practice providers
+189%
Opioid rate vs peers
7.1% vs 2.5% avg
-96%
Cost per patient vs peers
$49 vs $1,128 avg
Opioid Prescribing
7.1%
Opioid Rate
13
Opioid Claims
$57
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 170 claims · $1,715
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Azithromycin | 15 | $157 |
| Prednisone | 23 | $55 |
Prescribing Profile
2
Unique Drugs
20.0
Anomaly Score
Patient Profile
69
Avg Age
64%
Female
1.44
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