⚠️

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 →

Charles SettleM.D.

Physical Medicine and Rehabilitation · Tacoma, WA 98405

NPI: 1386791374

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29

🟡 Moderate

ML Fraud Detection Score: 89%

Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.

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Risk Flags

95th percentile opioid prescribingElevated long-acting opioid rateOpioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

6,203

Total Claims

$469K

Drug Cost

315

Beneficiaries

$1,490

Cost/Patient

Risk Score Breakdown 29/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+10
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4
High fills per patient+3

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

+227%

Cost per patient vs peers

$1,490 vs $455 avg

+125%

Brand preference vs peers

7.1% 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

🤖

ML fraud detection score of 89% indicates prescribing patterns with significant similarity to confirmed fraud cases. 18 out of 20 decision trees flagged this provider.

💊

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

3,863

Opioid Claims

$390K

Opioid Cost

29.8%

Long-Acting Rate

This provider's opioid prescribing rate of 62.3% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

93% generic

Brand: 438 claims · $235K

Generic: 5,765 claims · $234K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Myristate116$119K
Oxycodone Hcl135$82K
Oxycodone Hcl1,329$43K
Hydrocodone/Acetaminophen644$24K
Fentanyl181$22K
Morphine Sulfate492$17K
Oxymorphone Hcl15$13K
Naloxegol Oxalate19$10K
Morphine Sulfate177$10K
Oxycodone Hcl/Acetaminophen289$9,458
Lidocaine50$8,975
Gabapentin252$8,208
Buprenorphine22$6,559
Methadone Hcl175$5,618
Tizanidine Hcl266$5,537

Prescribing Profile

48

Unique Drugs

29.0

Anomaly Score

Patient Profile

65

Avg Age

65%

Female

1.71

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