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
12,162
Total Claims
$713K
Drug Cost
1,229
Beneficiaries
$580
Cost/Patient
Risk Score Breakdown 38/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+359%
Opioid rate vs peers
92.7% vs 20.2% avg
+27%
Cost per patient vs peers
$580 vs $455 avg
+163%
Brand preference vs peers
8.3% 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 359% 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
92.7%
Opioid Rate
11,272
Opioid Claims
$659K
Opioid Cost
23.2%
Long-Acting Rate
This provider's opioid prescribing rate of 92.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,005 claims · $350K
Generic: 11,157 claims · $363K
Patient Profile
68
Avg Age
61%
Female
1.82
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