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
5,647
Total Claims
$389K
Drug Cost
462
Beneficiaries
$841
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+352%
Opioid rate vs peers
91.4% vs 20.2% avg
+85%
Cost per patient vs peers
$841 vs $455 avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 352% 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
91.4%
Opioid Rate
5,160
Opioid Claims
$371K
Opioid Cost
24.6%
Long-Acting Rate
This provider's opioid prescribing rate of 91.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 5,168 claims · $187K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 171 | $117K |
| Hydrocodone/Acetaminophen | 1,945 | $50K |
| Oxycodone Hcl | 72 | $48K |
| Oxycodone Hcl/Acetaminophen | 890 | $35K |
| Morphine Sulfate | 777 | $24K |
| Oxycodone Hcl | 739 | $15K |
| Fentanyl | 138 | $13K |
| Tapentadol Hcl | 12 | $13K |
| Buprenorphine | 22 | $7,392 |
| Buprenorphine Hcl | 12 | $6,237 |
| Morphine Sulfate | 171 | $5,506 |
| Hydromorphone Hcl | 13 | $2,365 |
| Hydromorphone Hcl | 91 | $1,835 |
| Buprenorphine Hcl/Naloxone Hcl | 13 | $1,708 |
| Gabapentin | 80 | $1,669 |
Prescribing Profile
23
Unique Drugs
38.0
Anomaly Score
Patient Profile
69
Avg Age
56%
Female
1.40
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