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 →Anthony DinicolaMD
Physical Medicine and Rehabilitation · Simpsonville, SC 29681
NPI: 1326245606
21
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,578
Total Claims
$218K
Drug Cost
1,119
Beneficiaries
$195
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+208%
Opioid rate vs peers
62.3% vs 20.2% avg
-57%
Cost per patient vs peers
$195 vs $455 avg
-6%
Brand preference vs peers
2.9% 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
Opioid rate is 208% above Physical Medicine and Rehabilitation peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
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
62.3%
Opioid Rate
3,473
Opioid Claims
$152K
Opioid Cost
15.0%
Long-Acting Rate
This provider's opioid prescribing rate of 62.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 164 claims · $74K
Generic: 5,414 claims · $144K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Buprenorphine | 134 | $41K |
| Hydrocodone/Acetaminophen | 1,346 | $32K |
| Oxycodone Hcl/Acetaminophen | 1,056 | $32K |
| Oxycodone Myristate | 34 | $11K |
| Gabapentin | 567 | $10K |
| Diclofenac Sodium | 104 | $8,669 |
| Linaclotide | 11 | $8,357 |
| Pregabalin | 320 | $8,075 |
| Oxycodone Hcl | 27 | $8,071 |
| Morphine Sulfate | 272 | $4,808 |
| Tizanidine Hcl | 259 | $2,812 |
| Celecoxib | 102 | $2,596 |
| Oxycodone Hcl | 123 | $2,567 |
| Tramadol Hcl | 407 | $2,439 |
| Lidocaine | 15 | $2,159 |
Prescribing Profile
24
Unique Drugs
21.0
Anomaly Score
Patient Profile
70
Avg Age
66%
Female
1.46
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