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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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Darren EllenboltM.D.

Family Practice · Mukwonago, WI 53149

NPI: 1700855012

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20

🟡 Moderate

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

Exclusion type: 1128b4 · Date: 20240919 · State: WI

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

1,808

Total Claims

$138K

Drug Cost

413

Beneficiaries

$335

Cost/Patient

Risk Score Breakdown 20/100

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

-69%

Cost per patient vs peers

$335 vs $1,068 avg

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 1,620 claims · $36K

Patient Profile

75

Avg Age

31%

Female

1.13

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