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: 1128a3 · Date: 20260120 · State: VA
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
399
Total Claims
$18K
Drug Cost
32
Beneficiaries
$572
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 44,021 Emergency Medicine providers
+209%
Opioid rate vs peers
29.1% vs 9.4% avg
Opioid Prescribing
29.1%
Opioid Rate
116
Opioid Claims
$2,393
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 29.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 355 claims · $9,178
Patient Profile
56
Avg Age
38%
Female
2.21
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