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 →30
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,211
Total Claims
$430K
Drug Cost
228
Beneficiaries
$1,888
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+292%
Opioid rate vs peers
79.2% vs 20.2% avg
+315%
Cost per patient vs peers
$1,888 vs $455 avg
+494%
Brand preference vs peers
18.7% vs 3.1% avg
🔎 Data Overview
Opioid rate is 292% 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
79.2%
Opioid Rate
1,751
Opioid Claims
$399K
Opioid Cost
30.6%
Long-Acting Rate
This provider's opioid prescribing rate of 79.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 413 claims · $348K
Generic: 1,798 claims · $83K
Patient Profile
64
Avg Age
58%
Female
1.67
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