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 →29
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,701
Total Claims
$404K
Drug Cost
346
Beneficiaries
$1,166
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+243%
Opioid rate vs peers
69.3% vs 20.2% avg
+156%
Cost per patient vs peers
$1,166 vs $455 avg
+112%
Brand preference vs peers
6.7% vs 3.1% avg
🔎 Data Overview
Opioid rate is 243% 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
69.3%
Opioid Rate
3,950
Opioid Claims
$318K
Opioid Cost
20.4%
Long-Acting Rate
This provider's opioid prescribing rate of 69.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 380 claims · $210K
Generic: 5,321 claims · $193K
Patient Profile
67
Avg Age
58%
Female
1.70
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