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 →20
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
11,028
Total Claims
$1.2M
Drug Cost
564
Beneficiaries
$2,210
Cost/Patient
Risk Score Breakdown 20/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+211%
Opioid rate vs peers
62.9% vs 20.2% avg
+385%
Cost per patient vs peers
$2,210 vs $455 avg
+179%
Brand preference vs peers
8.8% vs 3.1% avg
🔎 Data Overview
Opioid rate is 211% 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
62.9%
Opioid Rate
6,934
Opioid Claims
$1.1M
Opioid Cost
29.7%
Long-Acting Rate
This provider's opioid prescribing rate of 62.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 967 claims · $774K
Generic: 10,061 claims · $472K
Patient Profile
67
Avg Age
63%
Female
1.84
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