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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 →

Daniel MarshMD

Physical Medicine and Rehabilitation · Boise, ID 83709

NPI: 1356377535

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21

🟡 Moderate

Risk Flags

95th percentile opioid prescribingOpioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

7,317

Total Claims

$584K

Drug Cost

456

Beneficiaries

$1,280

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers

+186%

Opioid rate vs peers

57.7% vs 20.2% avg

+181%

Cost per patient vs peers

$1,280 vs $455 avg

+127%

Brand preference vs peers

7.1% 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

57.7%

Opioid Rate

4,224

Opioid Claims

$364K

Opioid Cost

25.8%

Long-Acting Rate

This provider's opioid prescribing rate of 57.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

93% generic

Brand: 520 claims · $304K

Generic: 6,779 claims · $275K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Myristate60$78K
Oxycodone Hcl70$74K
Methylnaltrexone Bromide26$48K
Hydrocodone/Acetaminophen1,048$36K
Oxycodone Hcl768$29K
Oxycodone Hcl/Acetaminophen620$27K
Buprenorphine Hcl/Naloxone Hcl89$26K
Buprenorphine Hcl45$25K
Fentanyl187$21K
Buprenorphine62$17K
Gabapentin677$16K
Morphine Sulfate513$15K
Naloxegol Oxalate33$15K
Pregabalin336$14K
Morphine Sulfate276$14K

Prescribing Profile

51

Unique Drugs

21.0

Anomaly Score

Patient Profile

68

Avg Age

56%

Female

1.55

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