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 →32
🟠 Elevated
🤖 ML Fraud Detection Score: 88%
Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
8,968
Total Claims
$267K
Drug Cost
504
Beneficiaries
$530
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+150%
Opioid rate vs peers
50.6% vs 20.2% avg
+16%
Cost per patient vs peers
$530 vs $455 avg
+53%
Brand preference vs peers
4.8% 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
50.6%
Opioid Rate
4,535
Opioid Claims
$145K
Opioid Cost
14.8%
Long-Acting Rate
This provider's opioid prescribing rate of 50.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 430 claims · $63K
Generic: 8,538 claims · $204K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 67 | $37K |
| Hydrocodone/Acetaminophen | 959 | $28K |
| Oxycodone Hcl/Acetaminophen | 765 | $23K |
| Oxycodone Hcl | 1,102 | $21K |
| Pregabalin | 425 | $16K |
| Gabapentin | 605 | $14K |
| Fentanyl | 90 | $6,884 |
| Morphine Sulfate | 313 | $5,996 |
| Trazodone Hcl | 428 | $5,898 |
| Hydromorphone Hcl | 527 | $5,768 |
| Naloxone Hcl | 59 | $5,428 |
| Doxepin Hcl | 124 | $5,200 |
| Oxycodone Myristate | 11 | $5,110 |
| Amitriptyline Hcl | 154 | $4,952 |
| Tizanidine Hcl | 349 | $4,515 |
Prescribing Profile
50
Unique Drugs
32.0
Anomaly Score
Patient Profile
62
Avg Age
60%
Female
1.77
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