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 →Thurston McmillenM.D.
Physical Medicine and Rehabilitation · Clearwater, FL 33759
NPI: 1144455510
21
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
8,805
Total Claims
$323K
Drug Cost
1,236
Beneficiaries
$261
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+213%
Opioid rate vs peers
63.2% vs 20.2% avg
-43%
Cost per patient vs peers
$261 vs $455 avg
+92%
Brand preference vs peers
6.0% 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 213% 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
63.2%
Opioid Rate
5,563
Opioid Claims
$179K
Opioid Cost
11.3%
Long-Acting Rate
This provider's opioid prescribing rate of 63.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 526 claims · $78K
Generic: 8,197 claims · $243K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 1,895 | $37K |
| Pregabalin | 460 | $35K |
| Oxycodone Hcl/Acetaminophen | 1,109 | $32K |
| Oxycodone Hcl | 942 | $23K |
| Oxycodone Hcl | 118 | $20K |
| Tapentadol Hcl | 37 | $14K |
| Celecoxib | 139 | $13K |
| Lacosamide | 52 | $13K |
| Fentanyl | 166 | $12K |
| Oxycodone Myristate | 37 | $10K |
| Tizanidine Hcl | 145 | $9,581 |
| Modafinil | 19 | $8,942 |
| Tramadol Hcl | 745 | $8,598 |
| Morphine Sulfate | 238 | $8,564 |
| Buprenorphine Hcl/Naloxone Hcl | 22 | $6,918 |
Prescribing Profile
Patient Profile
78
Avg Age
68%
Female
3.37
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