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 →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
7,768
Total Claims
$862K
Drug Cost
193
Beneficiaries
$4,464
Cost/Patient
Risk Score Breakdown 28/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+80%
Opioid rate vs peers
36.4% vs 20.2% avg
+880%
Cost per patient vs peers
$4,464 vs $455 avg
🔎 Data Overview
Cost per patient is 880% 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
36.4%
Opioid Rate
2,825
Opioid Claims
$340K
Opioid Cost
35.0%
Long-Acting Rate
This provider's opioid prescribing rate of 36.4% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 6,810 claims · $248K
Patient Profile
61
Avg Age
67%
Female
1.91
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