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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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Janis Fowler-GuldeM.D.

Internal Medicine · Hitchcock, TX 77563

NPI: 1780688598

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20

🟡 Moderate

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

Exclusion type: 1128a4 · Date: 20230320 · State: TX

Risk Flags

OIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

120

Total Claims

$11K

Drug Cost

68

Beneficiaries

$167

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. 110,156 Internal Medicine providers

-88%

Cost per patient vs peers

$167 vs $1,411 avg

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 103 claims · $2,881

Patient Profile

72

Avg Age

54%

Female

1.78

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