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
7,767
Total Claims
$417K
Drug Cost
1,501
Beneficiaries
$278
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+295%
Opioid rate vs peers
79.9% vs 20.2% avg
-39%
Cost per patient vs peers
$278 vs $455 avg
+75%
Brand preference vs peers
5.5% vs 3.1% avg
🔎 Data Overview
Opioid rate is 295% 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
79.9%
Opioid Rate
6,207
Opioid Claims
$363K
Opioid Cost
22.2%
Long-Acting Rate
This provider's opioid prescribing rate of 79.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 426 claims · $204K
Generic: 7,341 claims · $213K
Patient Profile
70
Avg Age
57%
Female
2.03
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