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 →35
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
2,852
Total Claims
$468K
Drug Cost
283
Beneficiaries
$1,655
Cost/Patient
Risk Score Breakdown 35/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+244%
Opioid rate vs peers
69.5% vs 20.2% avg
+263%
Cost per patient vs peers
$1,655 vs $455 avg
+629%
Brand preference vs peers
22.9% 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 244% 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
69.5%
Opioid Rate
1,982
Opioid Claims
$425K
Opioid Cost
60.2%
Long-Acting Rate
This provider's opioid prescribing rate of 69.5% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 653 claims · $332K
Generic: 2,199 claims · $137K
Patient Profile
62
Avg Age
52%
Female
1.54
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