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 →29
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
8,682
Total Claims
$544K
Drug Cost
692
Beneficiaries
$786
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+319%
Opioid rate vs peers
84.7% vs 20.2% avg
+73%
Cost per patient vs peers
$786 vs $455 avg
+105%
Brand preference vs peers
6.5% vs 3.1% avg
🔎 Data Overview
Opioid rate is 319% above Physical Medicine and Rehabilitation peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
84.7%
Opioid Rate
7,352
Opioid Claims
$468K
Opioid Cost
13.6%
Long-Acting Rate
This provider's opioid prescribing rate of 84.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 560 claims · $294K
Generic: 8,122 claims · $250K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 3,008 | $86K |
| Oxycodone Myristate | 133 | $73K |
| Oxycodone Hcl/Acetaminophen | 2,177 | $69K |
| Oxycodone Hcl | 73 | $43K |
| Tapentadol Hcl | 38 | $37K |
| Buprenorphine Hcl | 45 | $35K |
| Oxycodone Hcl | 925 | $24K |
| Buprenorphine | 63 | $24K |
| Lidocaine | 67 | $17K |
| Buprenorphine | 18 | $14K |
| Morphine Sulfate | 536 | $14K |
| Naloxegol Oxalate | 25 | $12K |
| Tapentadol Hcl | 11 | $12K |
| Gabapentin | 326 | $6,717 |
| Linaclotide | 11 | $6,071 |
Prescribing Profile
29
Unique Drugs
29.0
Anomaly Score
Patient Profile
66
Avg Age
60%
Female
1.82
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About