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 →21
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,309
Total Claims
$906K
Drug Cost
524
Beneficiaries
$1,729
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+178%
Opioid rate vs peers
56.2% vs 20.2% avg
+280%
Cost per patient vs peers
$1,729 vs $455 avg
+317%
Brand preference vs peers
13.1% 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
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
56.2%
Opioid Rate
2,983
Opioid Claims
$368K
Opioid Cost
25.6%
Long-Acting Rate
This provider's opioid prescribing rate of 56.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 696 claims · $582K
Generic: 4,613 claims · $324K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Budesonide | 67 | $238K |
| Oxycodone Hcl | 199 | $182K |
| Rimegepant Sulfate | 27 | $47K |
| Methylnaltrexone Bromide | 16 | $40K |
| Oxycodone Hcl/Acetaminophen | 887 | $39K |
| Naloxegol Oxalate | 85 | $36K |
| Oxycodone Myristate | 41 | $32K |
| Oxycodone Hcl | 842 | $25K |
| Lidocaine | 31 | $22K |
| Hydrocodone Bitartrate | 24 | $21K |
| Buprenorphine Hcl/Naloxone Hcl | 84 | $17K |
| Tapentadol Hcl | 18 | $17K |
| Chlorpromazine Hcl | 13 | $15K |
| Linaclotide | 20 | $13K |
| Morphine Sulfate | 309 | $11K |
Prescribing Profile
50
Unique Drugs
21.0
Anomaly Score
Patient Profile
66
Avg Age
51%
Female
1.66
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