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 →33
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,471
Total Claims
$61K
Drug Cost
828
Beneficiaries
$73
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+347%
Opioid rate vs peers
90.4% vs 20.2% avg
-84%
Cost per patient vs peers
$73 vs $455 avg
+36%
Brand preference vs peers
4.3% 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 347% 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
90.4%
Opioid Rate
1,330
Opioid Claims
$53K
Opioid Cost
12.1%
Long-Acting Rate
This provider's opioid prescribing rate of 90.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 63 claims · $20K
Generic: 1,408 claims · $41K
Patient Profile
68
Avg Age
64%
Female
1.66
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