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 →16
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
244
Total Claims
$2,908
Drug Cost
168
Beneficiaries
$17
Cost/Patient
Risk Score Breakdown 16/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+170%
Opioid rate vs peers
54.5% vs 20.2% avg
-96%
Cost per patient vs peers
$17 vs $455 avg
Opioid Prescribing
54.5%
Opioid Rate
133
Opioid Claims
$675
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 54.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 242 claims · $2,308
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Gabapentin | 61 | $666 |
| Oxycodone Hcl | 70 | $365 |
| Hydrocodone/Acetaminophen | 22 | $164 |
| Tramadol Hcl | 33 | $96 |
Prescribing Profile
4
Unique Drugs
16.0
Anomaly Score
Patient Profile
77
Avg Age
63%
Female
2.22
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