77
🔴 High Risk
🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128b4 · Date: 20250619 · State: CA
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
226
Total Claims
$75K
Drug Cost
15
Beneficiaries
$5,025
Cost/Patient
Risk Score Breakdown 77/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+2687%
Opioid rate vs peers
62.4% vs 2.2% avg
+256%
Cost per patient vs peers
$5,025 vs $1,411 avg
+225%
Brand preference vs peers
34.5% vs 10.6% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ 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
62.4%
Opioid Rate
141
Opioid Claims
$67K
Opioid Cost
35.5%
Long-Acting Rate
This provider's opioid prescribing rate of 62.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 78 claims · $65K
Generic: 148 claims · $10K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 47 | $64K |
| Oxycodone Hcl | 40 | $1,842 |
| Hydrocodone/Acetaminophen | 26 | $698 |
| Hydromorphone Hcl | 21 | $326 |
| Gabapentin | 12 | $117 |
| Alprazolam | 17 | $76 |
| Diazepam | 31 | $75 |
Prescribing Profile
6
Unique Drugs
77.0
Anomaly Score
Patient Profile
71
Avg Age
—
Female
0.75
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