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 →34
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
4,949
Total Claims
$545K
Drug Cost
252
Beneficiaries
$2,164
Cost/Patient
Risk Score Breakdown 34/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+237%
Opioid rate vs peers
68.0% vs 20.2% avg
+375%
Cost per patient vs peers
$2,164 vs $455 avg
+278%
Brand preference vs peers
11.9% vs 3.1% avg
🔎 Data Overview
Opioid rate is 237% 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
68.0%
Opioid Rate
3,367
Opioid Claims
$481K
Opioid Cost
32.1%
Long-Acting Rate
This provider's opioid prescribing rate of 68.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 588 claims · $397K
Generic: 4,361 claims · $148K
Patient Profile
64
Avg Age
59%
Female
1.66
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