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 →21
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,126
Total Claims
$541K
Drug Cost
521
Beneficiaries
$1,038
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+196%
Opioid rate vs peers
59.9% vs 20.2% avg
+128%
Cost per patient vs peers
$1,038 vs $455 avg
+136%
Brand preference vs peers
7.4% 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
59.9%
Opioid Rate
3,669
Opioid Claims
$367K
Opioid Cost
21.5%
Long-Acting Rate
This provider's opioid prescribing rate of 59.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 454 claims · $255K
Generic: 5,672 claims · $285K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 126 | $102K |
| Oxycodone Myristate | 73 | $56K |
| Buprenorphine Hcl/Naloxone Hcl | 170 | $51K |
| Oxycodone Hcl | 1,410 | $41K |
| Diclofenac Sodium | 497 | $32K |
| Buprenorphine | 92 | $30K |
| Oxycodone Hcl/Acetaminophen | 643 | $25K |
| Fentanyl | 173 | $21K |
| Hydrocodone/Acetaminophen | 570 | $20K |
| Oxymorphone Hcl | 23 | $19K |
| Buprenorphine Hcl | 27 | $18K |
| Pregabalin | 19 | $16K |
| Linaclotide | 12 | $9,921 |
| Naloxone Hcl | 113 | $9,357 |
| Pregabalin | 280 | $9,193 |
Prescribing Profile
32
Unique Drugs
21.0
Anomaly Score
Patient Profile
61
Avg Age
61%
Female
2.45
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