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 →44
🟠 Elevated
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
5,901
Total Claims
$1.3M
Drug Cost
241
Beneficiaries
$5,559
Cost/Patient
Risk Score Breakdown 44/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+238%
Opioid rate vs peers
68.4% vs 20.2% avg
+1121%
Cost per patient vs peers
$5,559 vs $455 avg
+523%
Brand preference vs peers
19.6% vs 3.1% avg
🔎 Data Overview
Opioid rate is 238% 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 1121% 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
68.4%
Opioid Rate
4,035
Opioid Claims
$1.1M
Opioid Cost
32.7%
Long-Acting Rate
This provider's opioid prescribing rate of 68.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 1,156 claims · $941K
Generic: 4,745 claims · $398K
Patient Profile
69
Avg Age
55%
Female
1.54
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