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
503
Total Claims
$62K
Drug Cost
33
Beneficiaries
$1,883
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+281%
Opioid rate vs peers
76.9% vs 20.2% avg
+314%
Cost per patient vs peers
$1,883 vs $455 avg
+216%
Brand preference vs peers
9.9% vs 3.1% avg
🔎 Data Overview
Opioid rate is 281% 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
76.9%
Opioid Rate
387
Opioid Claims
$51K
Opioid Cost
41.1%
Long-Acting Rate
This provider's opioid prescribing rate of 76.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 50 claims · $43K
Generic: 453 claims · $19K
Patient Profile
72
Avg Age
—
Female
1.27
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