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 →33
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
368
Total Claims
$21K
Drug Cost
61
Beneficiaries
$343
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+267%
Opioid rate vs peers
74.2% vs 20.2% avg
-25%
Cost per patient vs peers
$343 vs $455 avg
+99%
Brand preference vs peers
6.3% vs 3.1% avg
🔎 Data Overview
Opioid rate is 267% 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
74.2%
Opioid Rate
273
Opioid Claims
$8,277
Opioid Cost
69.2%
Long-Acting Rate
This provider's opioid prescribing rate of 74.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 23 claims · $6,622
Generic: 345 claims · $14K
Patient Profile
67
Avg Age
69%
Female
1.61
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