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 →10
🟢 Low
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
893
Total Claims
$32K
Drug Cost
192
Beneficiaries
$168
Cost/Patient
Risk Score Breakdown 10/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+188%
Opioid rate vs peers
58.1% vs 20.2% avg
-63%
Cost per patient vs peers
$168 vs $455 avg
+64%
Brand preference vs peers
5.2% vs 3.1% avg
Opioid Prescribing
58.1%
Opioid Rate
519
Opioid Claims
$23K
Opioid Cost
23.9%
Long-Acting Rate
This provider's opioid prescribing rate of 58.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 46 claims · $11K
Generic: 847 claims · $21K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 28 | $7,385 |
| Hydrocodone/Acetaminophen | 173 | $3,195 |
| Oxycodone Hcl/Acetaminophen | 68 | $2,121 |
| Fentanyl | 16 | $1,924 |
| Gabapentin | 57 | $1,764 |
| Duloxetine Hcl | 54 | $1,519 |
| Hydromorphone Hcl | 39 | $1,249 |
| Oxycodone Hcl | 75 | $1,121 |
| Methadone Hcl | 39 | $838 |
| Diclofenac Sodium | 24 | $799 |
| Pregabalin | 35 | $643 |
| Lidocaine | 12 | $602 |
| Morphine Sulfate | 30 | $587 |
| Naloxone Hcl | 11 | $585 |
| Topiramate | 23 | $374 |
Prescribing Profile
19
Unique Drugs
10.0
Anomaly Score
Patient Profile
74
Avg Age
66%
Female
1.67
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