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
741
Total Claims
$37K
Drug Cost
132
Beneficiaries
$281
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+327%
Opioid rate vs peers
86.4% vs 20.2% avg
-38%
Cost per patient vs peers
$281 vs $455 avg
+295%
Brand preference vs peers
12.4% 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 327% 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
86.4%
Opioid Rate
640
Opioid Claims
$30K
Opioid Cost
20.0%
Long-Acting Rate
This provider's opioid prescribing rate of 86.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 92 claims · $18K
Generic: 649 claims · $19K
Patient Profile
75
Avg Age
56%
Female
3.38
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