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
11,553
Total Claims
$801K
Drug Cost
768
Beneficiaries
$1,043
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+281%
Opioid rate vs peers
77.1% vs 20.2% avg
+129%
Cost per patient vs peers
$1,043 vs $455 avg
+122%
Brand preference vs peers
7.0% vs 3.1% avg
🔎 Data Overview
Opioid rate is 281% 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
77.1%
Opioid Rate
8,904
Opioid Claims
$602K
Opioid Cost
18.8%
Long-Acting Rate
This provider's opioid prescribing rate of 77.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 805 claims · $425K
Generic: 10,748 claims · $376K
Patient Profile
65
Avg Age
65%
Female
2.01
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