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 →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,403
Total Claims
$197K
Drug Cost
363
Beneficiaries
$542
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+336%
Opioid rate vs peers
88.0% vs 20.2% avg
+19%
Cost per patient vs peers
$542 vs $455 avg
+116%
Brand preference vs peers
6.8% 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
88.0%
Opioid Rate
2,995
Opioid Claims
$165K
Opioid Cost
19.4%
Long-Acting Rate
This provider's opioid prescribing rate of 88.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 231 claims · $84K
Generic: 3,172 claims · $113K
Patient Profile
67
Avg Age
66%
Female
1.84
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