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 →29
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,223
Total Claims
$201K
Drug Cost
348
Beneficiaries
$578
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+247%
Opioid rate vs peers
70.2% vs 20.2% avg
+27%
Cost per patient vs peers
$578 vs $455 avg
-27%
Brand preference vs peers
2.3% vs 3.1% avg
🔎 Data Overview
Opioid rate is 247% 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
70.2%
Opioid Rate
4,367
Opioid Claims
$134K
Opioid Cost
15.4%
Long-Acting Rate
This provider's opioid prescribing rate of 70.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 142 claims · $50K
Generic: 6,081 claims · $151K
Patient Profile
68
Avg Age
59%
Female
2.09
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