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 →25
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
9,417
Total Claims
$698K
Drug Cost
589
Beneficiaries
$1,186
Cost/Patient
Risk Score Breakdown 25/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+187%
Opioid rate vs peers
58.1% vs 20.2% avg
+160%
Cost per patient vs peers
$1,186 vs $455 avg
+61%
Brand preference vs peers
5.0% 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
58.1%
Opioid Rate
5,469
Opioid Claims
$513K
Opioid Cost
36.9%
Long-Acting Rate
This provider's opioid prescribing rate of 58.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 475 claims · $326K
Generic: 8,942 claims · $373K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 87 | $93K |
| Oxycodone Myristate | 90 | $83K |
| Fentanyl | 549 | $70K |
| Buprenorphine Hcl | 54 | $53K |
| Hydrocodone/Acetaminophen | 1,513 | $40K |
| Morphine Sulfate | 708 | $36K |
| Gabapentin | 1,109 | $35K |
| Abaloparatide | 11 | $30K |
| Oxycodone Hcl/Acetaminophen | 851 | $27K |
| Pregabalin | 581 | $23K |
| Buprenorphine | 55 | $21K |
| Tapentadol Hcl | 12 | $19K |
| Oxycodone Hcl | 444 | $19K |
| Methadone Hcl | 443 | $16K |
| Duloxetine Hcl | 474 | $14K |
Prescribing Profile
37
Unique Drugs
25.0
Anomaly Score
Patient Profile
65
Avg Age
64%
Female
1.65
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