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 →33
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
455
Total Claims
$31K
Drug Cost
157
Beneficiaries
$200
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+380%
Opioid rate vs peers
96.9% vs 20.2% avg
-56%
Cost per patient vs peers
$200 vs $455 avg
+61%
Brand preference vs peers
5.1% vs 3.1% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 380% above Physical Medicine and Rehabilitation peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
96.9%
Opioid Rate
441
Opioid Claims
$31K
Opioid Cost
23.8%
Long-Acting Rate
This provider's opioid prescribing rate of 96.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 23 claims · $12K
Generic: 432 claims · $20K
Patient Profile
75
Avg Age
69%
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