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
9,803
Total Claims
$661K
Drug Cost
1,344
Beneficiaries
$492
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+336%
Opioid rate vs peers
88.1% vs 20.2% avg
+8%
Cost per patient vs peers
$492 vs $455 avg
+143%
Brand preference vs peers
7.6% vs 3.1% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 336% 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
88.1%
Opioid Rate
8,635
Opioid Claims
$534K
Opioid Cost
17.0%
Long-Acting Rate
This provider's opioid prescribing rate of 88.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 749 claims · $305K
Generic: 9,054 claims · $356K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 2,719 | $112K |
| Oxycodone Myristate | 141 | $89K |
| Onabotulinumtoxina | 31 | $72K |
| Hydrocodone/Acetaminophen | 2,189 | $67K |
| Oxycodone Hcl | 67 | $58K |
| Tapentadol Hcl | 44 | $40K |
| Morphine Sulfate | 862 | $32K |
| Fentanyl | 274 | $25K |
| Oxycodone Hcl | 1,270 | $24K |
| Hydrocodone Bitartrate | 32 | $16K |
| Morphine Sulfate | 506 | $16K |
| Tapentadol Hcl | 23 | $14K |
| Duloxetine Hcl | 283 | $10K |
| Hydromorphone Hcl | 356 | $6,925 |
| Lidocaine | 34 | $6,824 |
Prescribing Profile
30
Unique Drugs
38.0
Anomaly Score
Patient Profile
66
Avg Age
62%
Female
2.39
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