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
6,361
Total Claims
$430K
Drug Cost
973
Beneficiaries
$442
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+256%
Opioid rate vs peers
71.9% vs 20.2% avg
-3%
Cost per patient vs peers
$442 vs $455 avg
+42%
Brand preference vs peers
4.5% vs 3.1% avg
🔎 Data Overview
Opioid rate is 256% 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
71.9%
Opioid Rate
4,576
Opioid Claims
$262K
Opioid Cost
16.4%
Long-Acting Rate
This provider's opioid prescribing rate of 71.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 284 claims · $145K
Generic: 6,077 claims · $285K
Patient Profile
67
Avg Age
63%
Female
1.92
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