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 →29
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
11,222
Total Claims
$677K
Drug Cost
586
Beneficiaries
$1,156
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+197%
Opioid rate vs peers
60.1% vs 20.2% avg
+154%
Cost per patient vs peers
$1,156 vs $455 avg
+33%
Brand preference vs peers
4.2% vs 3.1% avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 Data Overview
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
60.1%
Opioid Rate
6,746
Opioid Claims
$511K
Opioid Cost
33.0%
Long-Acting Rate
This provider's opioid prescribing rate of 60.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 468 claims · $270K
Generic: 10,754 claims · $407K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 163 | $161K |
| Fentanyl | 639 | $80K |
| Hydrocodone/Acetaminophen | 2,800 | $60K |
| Morphine Sulfate | 870 | $53K |
| Oxycodone Hcl/Acetaminophen | 969 | $28K |
| Oxycodone Myristate | 31 | $28K |
| Gabapentin | 1,020 | $26K |
| Buprenorphine | 81 | $25K |
| Oxymorphone Hcl | 16 | $21K |
| Tramadol Hcl | 130 | $17K |
| Hydrocodone Bitartrate | 18 | $10K |
| Tizanidine Hcl | 372 | $9,541 |
| Pregabalin | 347 | $8,625 |
| Duloxetine Hcl | 198 | $8,161 |
| Hydrocodone Bitartrate | 11 | $6,934 |
Prescribing Profile
50
Unique Drugs
29.0
Anomaly Score
Patient Profile
65
Avg Age
59%
Female
1.31
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 of wrongdoing.Methodology · About · Dispute this data