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 →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
11,453
Total Claims
$986K
Drug Cost
840
Beneficiaries
$1,174
Cost/Patient
Risk Score Breakdown 23/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+221%
Opioid rate vs peers
64.8% vs 20.2% avg
+158%
Cost per patient vs peers
$1,174 vs $455 avg
+29%
Brand preference vs peers
4.1% vs 3.1% avg
🔎 Data Overview
Opioid rate is 221% 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
64.8%
Opioid Rate
7,421
Opioid Claims
$815K
Opioid Cost
14.5%
Long-Acting Rate
This provider's opioid prescribing rate of 64.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 464 claims · $232K
Generic: 10,989 claims · $755K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl/Acetaminophen | 2,245 | $349K |
| Oxycodone Hcl/Acetaminophen | 75 | $152K |
| Oxycodone Myristate | 115 | $77K |
| Hydrocodone/Acetaminophen | 3,402 | $68K |
| Buprenorphine | 154 | $53K |
| Methylnaltrexone Bromide | 15 | $36K |
| Oxycodone Hcl/Acetaminophen | 12 | $36K |
| Naloxegol Oxalate | 56 | $23K |
| Oxycodone Hcl | 47 | $22K |
| Linaclotide | 20 | $18K |
| Morphine Sulfate | 700 | $18K |
| Diclofenac Sodium | 298 | $17K |
| Gabapentin | 1,079 | $17K |
| Buprenorphine Hcl | 27 | $16K |
| Pregabalin | 11 | $10K |
Prescribing Profile
38
Unique Drugs
23.0
Anomaly Score
Patient Profile
64
Avg Age
61%
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 of wrongdoing.Methodology · About · Dispute this data