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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 →

Jerome CarterM.D.

Physical Medicine and Rehabilitation · Baytown, TX 77521

NPI: 1689698961

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12

🟢 Low

Risk Flags

95th percentile opioid prescribing

Risk indicators are statistical patterns, not allegations. Learn more

5,432

Total Claims

$376K

Drug Cost

330

Beneficiaries

$1,140

Cost/Patient

Risk Score Breakdown 12/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate (national percentile)+10

Score components are additive. Read full methodology

Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers

+186%

Opioid rate vs peers

57.7% vs 20.2% avg

+150%

Cost per patient vs peers

$1,140 vs $455 avg

+83%

Brand preference vs peers

5.8% vs 3.1% avg

Opioid Prescribing

57.7%

Opioid Rate

3,136

Opioid Claims

$242K

Opioid Cost

20.2%

Long-Acting Rate

This provider's opioid prescribing rate of 57.7% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

94% generic

Brand: 313 claims · $156K

Generic: 5,119 claims · $220K

Patient Profile

68

Avg Age

67%

Female

2.18

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