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 →17
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
61,501
Total Claims
$2.4M
Drug Cost
649
Beneficiaries
$3,640
Cost/Patient
Risk Score Breakdown 17/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
-91%
Opioid rate vs peers
1.8% vs 20.2% avg
+699%
Cost per patient vs peers
$3,640 vs $455 avg
+213%
Brand preference vs peers
9.9% vs 3.1% avg
🔎 Data Overview
Cost per patient is 699% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
1.8%
Opioid Rate
1,110
Opioid Claims
$28K
Opioid Cost
9.5%
Long-Acting Rate
Brand vs Generic
Brand: 6,050 claims · $1.7M
Generic: 55,370 claims · $696K
Patient Profile
76
Avg Age
59%
Female
3.10
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