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 →45
🟠 Elevated
🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128a3 · Date: 20250520 · State: AL
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
134
Total Claims
$5,341
Drug Cost
17
Beneficiaries
$314
Cost/Patient
Risk Score Breakdown 45/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+247%
Opioid rate vs peers
70.1% vs 20.2% avg
-31%
Cost per patient vs peers
$314 vs $455 avg
Opioid Prescribing
70.1%
Opioid Rate
94
Opioid Claims
$4,353
Opioid Cost
21.3%
Long-Acting Rate
This provider's opioid prescribing rate of 70.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 129 claims · $3,670
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 38 | $768 |
| Morphine Sulfate | 13 | $698 |
| Hydrocodone/Acetaminophen | 21 | $381 |
| Hydromorphone Hcl | 13 | $331 |
| Promethazine Hcl | 12 | $56 |
Prescribing Profile
5
Unique Drugs
45.0
Anomaly Score
Patient Profile
58
Avg Age
—
Female
2.20
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