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 →30
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
3,456
Total Claims
$401K
Drug Cost
328
Beneficiaries
$1,224
Cost/Patient
Risk Score Breakdown 30/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+281%
Opioid rate vs peers
77.1% vs 20.2% avg
+169%
Cost per patient vs peers
$1,224 vs $455 avg
+226%
Brand preference vs peers
10.2% 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
77.1%
Opioid Rate
2,663
Opioid Claims
$373K
Opioid Cost
35.3%
Long-Acting Rate
This provider's opioid prescribing rate of 77.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 354 claims · $245K
Generic: 3,102 claims · $157K
Patient Profile
65
Avg Age
60%
Female
1.98
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