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 →23
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
12,361
Total Claims
$957K
Drug Cost
930
Beneficiaries
$1,029
Cost/Patient
Risk Score Breakdown 23/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+218%
Opioid rate vs peers
64.3% vs 20.2% avg
+126%
Cost per patient vs peers
$1,029 vs $455 avg
+126%
Brand preference vs peers
7.1% vs 3.1% avg
🔎 Data Overview
Opioid rate is 218% above Physical Medicine and Rehabilitation peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
64.3%
Opioid Rate
7,951
Opioid Claims
$650K
Opioid Cost
26.7%
Long-Acting Rate
This provider's opioid prescribing rate of 64.3% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 879 claims · $566K
Generic: 11,482 claims · $391K
Patient Profile
69
Avg Age
61%
Female
2.35
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