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
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
11,836
Total Claims
$800K
Drug Cost
937
Beneficiaries
$854
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+221%
Opioid rate vs peers
64.9% vs 20.2% avg
+88%
Cost per patient vs peers
$854 vs $455 avg
+132%
Brand preference vs peers
7.3% 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.
🔎 Data Overview
Opioid rate is 221% above Physical Medicine and Rehabilitation peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
64.9%
Opioid Rate
7,686
Opioid Claims
$657K
Opioid Cost
21.8%
Long-Acting Rate
This provider's opioid prescribing rate of 64.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 860 claims · $435K
Generic: 10,952 claims · $365K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 347 | $270K |
| Oxycodone Myristate | 208 | $120K |
| Oxycodone Hcl/Acetaminophen | 1,221 | $58K |
| Oxycodone Hcl | 1,910 | $53K |
| Fentanyl | 290 | $44K |
| Hydrocodone/Acetaminophen | 1,397 | $42K |
| Morphine Sulfate | 626 | $30K |
| Gabapentin | 772 | $15K |
| Tramadol Hcl | 1,004 | $11K |
| Tizanidine Hcl | 310 | $8,888 |
| Pregabalin | 263 | $8,815 |
| Naloxegol Oxalate | 21 | $8,469 |
| Methadone Hcl | 188 | $8,024 |
| Apixaban | 26 | $7,496 |
| Celecoxib | 156 | $6,297 |
Prescribing Profile
Patient Profile
72
Avg Age
59%
Female
2.37
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