Preventive Medicine Expert Witnesses in Texas

San Antonio, Texas

Family Medicine, Occupational Medicine - primary care, outpatient medicine, preventive medicine, Medicare Advantage, geriatrics, chronic disease management, HCC coding, risk adjustment, managed care, chart review, peer review, medical record review, workers' compensation

I am a board-certified family physician with an active, unrestricted Texas medical license and over 20 years of clinical practice experience in primary care and outpatient medicine. With an MBA alongside my MD, and as a former healthcare executive, I bring both clinical depth and administrative perspective to every case evaluation — and I communicate my findings clearly, whether the audience is a legal team or a non-clinical decision-maker. Throughout my career, I have performed chart reviews and peer reviews across a broad range of primary care and outpatient clinical scenarios, with particular familiarity in chronic disease management, Medicare Advantage populations, preventive care standards, HCC coding accuracy, and medical necessity determinations. Beyond individual case review, I founded and led a physician peer review committee for over 10 years — completely redesigning the process from the ground up, establishing its standards and workflows, and guiding the committee throug...

San Antonio, Texas

Preventive Medicine, Family Medicine - Health Insurance, Utilization Management, Government Contracts, Quality, Outbreak, Communicable Diseases, TRICARE, Medicare, Medicaid, HIV, LGBT care, Migrant Care, Non-profit or indigent care, Correctional facility care, Denial/Appeals, Academic health, Population health, Tuberculosis, Non-Profit

Executive Physician and former Chief Medical Officer with extensive leadership experience across public health, health insurance, complex health systems, government agencies, and nonprofit organizations. Brings deep clinical, administrative, and policy expertise to cases involving population health, disease prevention, standards of care, health plan operations, and organizational oversight. Areas of Expertise Public Health • Preventive Medicine • Family Medicine • Population Health • Health Insurance and Health Plan Operations • Clinical Oversight and Standards of Care • Utilization Management, Denials, Case and Disease Management • Outbreak and Contamination Response • Disaster Health • Clinical Quality Improvement and HEDIS Attainment • Accreditation and Certification • Clinical Safety • Provider Network Credentialing • Social Determinants of Health • Health Equity • Government Health Programs (Federal, State, Local) • Clinical Analytics, Metrics, AI and Predictive Analytics • Pub...