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 →9
🟢 Low
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
18,360
Total Claims
$355K
Drug Cost
775
Beneficiaries
$458
Cost/Patient
Risk Score Breakdown 9/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+85%
Opioid rate vs peers
37.3% vs 20.2% avg
+1%
Cost per patient vs peers
$458 vs $455 avg
Opioid Prescribing
37.3%
Opioid Rate
6,848
Opioid Claims
$190K
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 37.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 57 claims · $27K
Generic: 18,303 claims · $328K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 6,353 | $181K |
| Gabapentin | 2,461 | $34K |
| Naloxegol Oxalate | 38 | $18K |
| Tizanidine Hcl | 1,423 | $16K |
| Pregabalin | 724 | $14K |
| Amitriptyline Hcl | 695 | $11K |
| Pantoprazole Sodium | 878 | $7,660 |
| Ibuprofen | 857 | $7,415 |
| Meloxicam | 1,137 | $6,513 |
| Cyclobenzaprine Hcl | 675 | $5,952 |
| Oxycodone Hcl/Acetaminophen | 241 | $5,934 |
| Baclofen | 379 | $5,396 |
| Diclofenac Sodium | 249 | $5,276 |
| Ibuprofen | 493 | $4,263 |
| Tramadol Hcl | 207 | $2,459 |
Prescribing Profile
42
Unique Drugs
9.0
Anomaly Score
Patient Profile
63
Avg Age
47%
Female
1.23
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