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 →32
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,985
Total Claims
$129K
Drug Cost
81
Beneficiaries
$1,588
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+239%
Opioid rate vs peers
68.4% vs 20.2% avg
+249%
Cost per patient vs peers
$1,588 vs $455 avg
+174%
Brand preference vs peers
8.6% vs 3.1% avg
Opioid Prescribing
68.4%
Opioid Rate
1,358
Opioid Claims
$96K
Opioid Cost
34.1%
Long-Acting Rate
This provider's opioid prescribing rate of 68.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 171 claims · $79K
Generic: 1,814 claims · $50K
Patient Profile
62
Avg Age
69%
Female
1.63
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