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: 1128b4 · Date: 20260120 · State: WI
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
283
Total Claims
$22K
Drug Cost
42
Beneficiaries
$516
Cost/Patient
Risk Score Breakdown 28/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+342%
Opioid rate vs peers
9.9% vs 2.2% avg
-63%
Cost per patient vs peers
$516 vs $1,411 avg
-9%
Brand preference vs peers
9.7% vs 10.6% avg
Opioid Prescribing
9.9%
Opioid Rate
28
Opioid Claims
$11K
Opioid Cost
46.4%
Long-Acting Rate
Brand vs Generic
Brand: 26 claims · $15K
Generic: 243 claims · $6,688
Patient Profile
69
Avg Age
71%
Female
0.93
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