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: 20240118 · State: TX
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,313
Total Claims
$60K
Drug Cost
446
Beneficiaries
$134
Cost/Patient
Risk Score Breakdown 28/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,957 Otolaryngology providers
-74%
Opioid rate vs peers
1.4% vs 5.3% avg
+2%
Cost per patient vs peers
$134 vs $132 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.
🔎 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.
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
1.4%
Opioid Rate
18
Opioid Claims
$70
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 1,143 claims · $29K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Neomyc/Colist/Hydrocort/Thonzn | 14 | $3,381 |
| Clotrimazole | 57 | $3,360 |
| Progesterone, Micronized | 59 | $3,350 |
| Fluticasone Propionate | 183 | $3,006 |
| Ipratropium Bromide | 52 | $2,836 |
| Olopatadine Hcl | 28 | $2,472 |
| Hydrocortisone | 142 | $2,398 |
| Ciprofloxacin Hcl/Dexameth | 11 | $2,137 |
| Ofloxacin | 30 | $2,045 |
| Tobramycin/Dexamethasone | 20 | $1,932 |
| Montelukast Sodium | 132 | $1,823 |
| Levocetirizine Dihydrochloride | 66 | $794 |
| Clotrimazole/Betamethasone Dip | 24 | $483 |
| Mupirocin | 48 | $451 |
| Azelastine Hcl | 11 | $408 |
Prescribing Profile
27
Unique Drugs
28.0
Anomaly Score
Patient Profile
73
Avg Age
62%
Female
1.79
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