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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.

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Heriberto SalinasMD

Family Practice · Joshua, TX 76058

NPI: 1609808500

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21

🟡 Moderate

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

Exclusion type: 1128a1 · Date: 20250420 · State: TX

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

3,489

Total Claims

$679K

Drug Cost

227

Beneficiaries

$2,991

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-70%

Opioid rate vs peers

0.8% vs 2.6% avg

+180%

Cost per patient vs peers

$2,991 vs $1,068 avg

+104%

Brand preference vs peers

18.4% vs 9.0% avg

Opioid Prescribing

0.8%

Opioid Rate

27

Opioid Claims

$194

Opioid Cost

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 633 claims · $615K

Generic: 2,810 claims · $61K

Patient Profile

72

Avg Age

49%

Female

1.24

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