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 →38
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
7,901
Total Claims
$432K
Drug Cost
1,498
Beneficiaries
$288
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+344%
Opioid rate vs peers
89.8% vs 20.2% avg
-37%
Cost per patient vs peers
$288 vs $455 avg
+73%
Brand preference vs peers
5.4% 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 344% 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
89.8%
Opioid Rate
7,092
Opioid Claims
$357K
Opioid Cost
14.7%
Long-Acting Rate
This provider's opioid prescribing rate of 89.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 430 claims · $171K
Generic: 7,471 claims · $261K
Patient Profile
63
Avg Age
59%
Female
2.44
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