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 →38
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,185
Total Claims
$262K
Drug Cost
467
Beneficiaries
$560
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+276%
Opioid rate vs peers
76.0% vs 20.2% avg
+23%
Cost per patient vs peers
$560 vs $455 avg
-34%
Brand preference vs peers
2.1% 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.
Opioid Prescribing
76.0%
Opioid Rate
4,703
Opioid Claims
$155K
Opioid Cost
6.1%
Long-Acting Rate
This provider's opioid prescribing rate of 76.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 129 claims · $116K
Generic: 6,056 claims · $146K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Hydrocodone/Acetaminophen | 2,829 | $58K |
| Methylnaltrexone Bromide | 19 | $48K |
| Oxycodone Hcl/Acetaminophen | 1,109 | $34K |
| Buprenorphine | 99 | $32K |
| Buprenorphine Hcl | 31 | $19K |
| Onabotulinumtoxina | 11 | $16K |
| Naloxegol Oxalate | 13 | $5,561 |
| Cyclobenzaprine Hcl | 11 | $4,784 |
| Oxycodone Hcl | 228 | $3,761 |
| Morphine Sulfate | 138 | $3,074 |
| Pregabalin | 114 | $2,376 |
| Gabapentin | 256 | $2,285 |
| Tizanidine Hcl | 255 | $1,909 |
| Tramadol Hcl | 14 | $1,731 |
| Methocarbamol | 114 | $1,383 |
Prescribing Profile
31
Unique Drugs
38.0
Anomaly Score
Patient Profile
66
Avg Age
61%
Female
1.85
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