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: 20231120 · State: TX
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
286
Total Claims
$37K
Drug Cost
62
Beneficiaries
$603
Cost/Patient
Risk Score Breakdown 20/100
Score components are additive. Read full methodology
Peer Comparison vs. 106,889 Family Practice providers
+90%
Opioid rate vs peers
4.9% vs 2.6% avg
-44%
Cost per patient vs peers
$603 vs $1,068 avg
Opioid Prescribing
4.9%
Opioid Rate
14
Opioid Claims
$327
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 248 claims · $6,130
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Quetiapine Fumarate | 12 | $221 |
| Albuterol Sulfate | 12 | $217 |
| Gabapentin | 14 | $134 |
| Atorvastatin Calcium | 13 | $129 |
| Lisinopril | 18 | $123 |
Prescribing Profile
5
Unique Drugs
20.0
Anomaly Score
Patient Profile
63
Avg Age
53%
Female
1.57
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