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 →30
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
4,174
Total Claims
$366K
Drug Cost
293
Beneficiaries
$1,249
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+241%
Opioid rate vs peers
68.8% vs 20.2% avg
+174%
Cost per patient vs peers
$1,249 vs $455 avg
+177%
Brand preference vs peers
8.7% vs 3.1% avg
🔎 Data Overview
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.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
68.8%
Opioid Rate
2,873
Opioid Claims
$292K
Opioid Cost
27.4%
Long-Acting Rate
This provider's opioid prescribing rate of 68.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 364 claims · $225K
Generic: 3,810 claims · $141K
Patient Profile
69
Avg Age
57%
Female
1.91
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