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 →Eboni Stanley-JollyMD
Physical Medicine and Rehabilitation · Arlington, VA 22205
NPI: 1639212236
32
🟠 Elevated
🤖 ML Fraud Detection Score: 94%
Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
466
Total Claims
$60K
Drug Cost
22
Beneficiaries
$2,744
Cost/Patient
Risk Score Breakdown 32/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+241%
Opioid rate vs peers
68.9% vs 20.2% avg
+503%
Cost per patient vs peers
$2,744 vs $455 avg
+71%
Brand preference vs peers
5.4% vs 3.1% avg
🔎 Data Overview
ML fraud detection score of 94% indicates prescribing patterns with significant similarity to confirmed fraud cases. 19 out of 20 decision trees flagged this provider.
Opioid rate is 241% above Physical Medicine and Rehabilitation peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 503% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
68.9%
Opioid Rate
321
Opioid Claims
$56K
Opioid Cost
38.0%
Long-Acting Rate
This provider's opioid prescribing rate of 68.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 25 claims · $15K
Generic: 441 claims · $45K
Patient Profile
62
Avg Age
50%
Female
1.37
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