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 →35
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,783
Total Claims
$142K
Drug Cost
395
Beneficiaries
$359
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+364%
Opioid rate vs peers
93.8% vs 20.2% avg
-21%
Cost per patient vs peers
$359 vs $455 avg
+24%
Brand preference vs peers
3.9% 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 364% 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
93.8%
Opioid Rate
3,549
Opioid Claims
$122K
Opioid Cost
4.5%
Long-Acting Rate
This provider's opioid prescribing rate of 93.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 147 claims · $27K
Generic: 3,636 claims · $115K
Patient Profile
63
Avg Age
50%
Female
1.53
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