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
1,478
Total Claims
$249K
Drug Cost
92
Beneficiaries
$2,706
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+240%
Opioid rate vs peers
68.6% vs 20.2% avg
+494%
Cost per patient vs peers
$2,706 vs $455 avg
+184%
Brand preference vs peers
8.9% vs 3.1% avg
🔎 Data Overview
Opioid rate is 240% 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
68.6%
Opioid Rate
1,014
Opioid Claims
$230K
Opioid Cost
38.6%
Long-Acting Rate
This provider's opioid prescribing rate of 68.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 132 claims · $109K
Generic: 1,346 claims · $140K
Patient Profile
68
Avg Age
59%
Female
1.57
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