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 →36
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
1,272
Total Claims
$76K
Drug Cost
49
Beneficiaries
$1,546
Cost/Patient
Risk Score Breakdown 36/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+247%
Opioid rate vs peers
70.2% vs 20.2% avg
+240%
Cost per patient vs peers
$1,546 vs $455 avg
+103%
Brand preference vs peers
6.4% vs 3.1% avg
🔎 Data Overview
Opioid rate is 247% 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
70.2%
Opioid Rate
893
Opioid Claims
$55K
Opioid Cost
40.1%
Long-Acting Rate
This provider's opioid prescribing rate of 70.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 81 claims · $39K
Generic: 1,191 claims · $37K
Patient Profile
64
Avg Age
39%
Female
2.07
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