Felicia GonzalezD.O.

Internal Medicine · Toms River, NJ 08753

NPI: 1598850935

Share:𝕏fin

58

🔴 High Risk

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128a4 · Date: 20240820 · State: WV

Risk Flags

extreme_opioid_vs_peers90th_pctile_opioidhigh_la_opioid_vs_peersOIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

492

Total Claims

$145K

Drug Cost

32

Beneficiaries

$4,538

Cost/Patient

Risk Score Breakdown 58/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+25
OIG excluded provider+20
Long-acting opioid rate+8
Opioid rate (national percentile)+5

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+1770%

Opioid rate vs peers

41.9% vs 2.2% avg

+222%

Cost per patient vs peers

$4,538 vs $1,411 avg

+45%

Brand preference vs peers

15.4% vs 10.6% avg

⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.

Opioid Prescribing

41.9%

Opioid Rate

206

Opioid Claims

$137K

Opioid Cost

50.0%

Long-Acting Rate

This provider's opioid prescribing rate of 41.9% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

85% generic

Brand: 76 claims · $119K

Generic: 416 claims · $26K

Patient Profile

62

Avg Age

50%

Female

1.04

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