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 →37
🟠 Elevated
🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128a3 · Date: 20250520 · State: CA
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
239
Total Claims
$21K
Drug Cost
25
Beneficiaries
$838
Cost/Patient
Risk Score Breakdown 37/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+148%
Opioid rate vs peers
50.2% vs 20.2% avg
+84%
Cost per patient vs peers
$838 vs $455 avg
+299%
Brand preference vs peers
12.6% vs 3.1% avg
Opioid Prescribing
50.2%
Opioid Rate
120
Opioid Claims
$18K
Opioid Cost
32.5%
Long-Acting Rate
This provider's opioid prescribing rate of 50.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 30 claims · $16K
Generic: 209 claims · $5,152
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 11 | $7,540 |
| Naloxone Hcl | 14 | $1,175 |
| Hydrocodone/Acetaminophen | 41 | $930 |
| Morphine Sulfate | 15 | $559 |
| Oxycodone Hcl | 23 | $546 |
| Cyclobenzaprine Hcl | 39 | $462 |
| Gabapentin | 23 | $268 |
| Tizanidine Hcl | 15 | $251 |
| Meloxicam | 11 | $143 |
Prescribing Profile
8
Unique Drugs
37.0
Anomaly Score
Patient Profile
57
Avg Age
56%
Female
2.31
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