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
1,773
Total Claims
$81K
Drug Cost
93
Beneficiaries
$871
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+271%
Opioid rate vs peers
75.0% vs 20.2% avg
+91%
Cost per patient vs peers
$871 vs $455 avg
+148%
Brand preference vs peers
7.8% vs 3.1% avg
Opioid Prescribing
75.0%
Opioid Rate
1,330
Opioid Claims
$68K
Opioid Cost
34.1%
Long-Acting Rate
This provider's opioid prescribing rate of 75.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 138 claims · $36K
Generic: 1,635 claims · $45K
Patient Profile
64
Avg Age
73%
Female
1.45
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