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 →Scott PrimackD.O.
Physical Medicine and Rehabilitation · Greenwood Village, CO 80111
NPI: 1386609428
40
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
254
Total Claims
$81K
Drug Cost
19
Beneficiaries
$4,240
Cost/Patient
Risk Score Breakdown 40/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+272%
Opioid rate vs peers
75.2% vs 20.2% avg
+831%
Cost per patient vs peers
$4,240 vs $455 avg
+551%
Brand preference vs peers
20.5% 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 272% above Physical Medicine and Rehabilitation peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Cost per patient is 831% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
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.
Prescribes only 9 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
75.2%
Opioid Rate
191
Opioid Claims
$79K
Opioid Cost
30.9%
Long-Acting Rate
This provider's opioid prescribing rate of 75.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 52 claims · $73K
Generic: 202 claims · $7,304
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Hcl | 25 | $72K |
| Hydromorphone Hcl | 38 | $2,610 |
| Fentanyl | 14 | $1,095 |
| Oxycodone Hcl | 26 | $1,094 |
| Morphine Sulfate | 20 | $809 |
| Oxycodone Hcl/Acetaminophen | 18 | $670 |
| Morphine Sulfate | 12 | $455 |
| Diazepam | 24 | $407 |
| Venlafaxine Hcl | 11 | $284 |
| Hydrocodone/Acetaminophen | 16 | $171 |
| Tramadol Hcl | 17 | $80 |
Prescribing Profile
9
Unique Drugs
40.0
Anomaly Score
Patient Profile
71
Avg Age
—
Female
1.49
Avg Risk Score
Explore More
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