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 →Mahendra GunapootiMD
Physical Medicine and Rehabilitation · Florissant, MO 63031
NPI: 1114034931
24
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
14,760
Total Claims
$757K
Drug Cost
671
Beneficiaries
$1,129
Cost/Patient
Risk Score Breakdown 24/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+207%
Opioid rate vs peers
62.0% vs 20.2% avg
+148%
Cost per patient vs peers
$1,129 vs $455 avg
+6%
Brand preference vs peers
3.3% vs 3.1% avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 Data Overview
Opioid rate is 207% above Physical Medicine and Rehabilitation peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
62.0%
Opioid Rate
9,153
Opioid Claims
$274K
Opioid Cost
5.9%
Long-Acting Rate
This provider's opioid prescribing rate of 62.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 493 claims · $428K
Generic: 14,267 claims · $329K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Methylnaltrexone Bromide | 151 | $333K |
| Hydrocodone/Acetaminophen | 3,016 | $75K |
| Oxycodone Hcl/Acetaminophen | 2,498 | $69K |
| Oxycodone Hcl | 44 | $35K |
| Acetaminophen With Codeine | 1,603 | $21K |
| Lidocaine | 225 | $20K |
| Gabapentin | 801 | $18K |
| Cyclobenzaprine Hcl | 1,139 | $16K |
| Naloxegol Oxalate | 32 | $15K |
| Tramadol Hcl | 801 | $9,785 |
| Fentanyl | 134 | $9,252 |
| Oxycodone Hcl | 447 | $8,939 |
| Tizanidine Hcl | 519 | $8,582 |
| Oxycodone Myristate | 11 | $8,470 |
| Methocarbamol | 453 | $8,028 |
Prescribing Profile
39
Unique Drugs
24.0
Anomaly Score
Patient Profile
63
Avg Age
65%
Female
2.02
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