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 →30
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,464
Total Claims
$183K
Drug Cost
137
Beneficiaries
$1,335
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+254%
Opioid rate vs peers
71.5% vs 20.2% avg
+193%
Cost per patient vs peers
$1,335 vs $455 avg
+147%
Brand preference vs peers
7.8% vs 3.1% avg
🔎 Data Overview
Opioid rate is 254% 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
71.5%
Opioid Rate
1,761
Opioid Claims
$161K
Opioid Cost
29.6%
Long-Acting Rate
This provider's opioid prescribing rate of 71.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 191 claims · $93K
Generic: 2,273 claims · $90K
Patient Profile
64
Avg Age
65%
Female
1.92
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About