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 →26
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
8,974
Total Claims
$492K
Drug Cost
434
Beneficiaries
$1,133
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+220%
Opioid rate vs peers
64.7% vs 20.2% avg
+149%
Cost per patient vs peers
$1,133 vs $455 avg
+49%
Brand preference vs peers
4.7% vs 3.1% avg
🔎 Data Overview
Opioid rate is 220% 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
64.7%
Opioid Rate
5,809
Opioid Claims
$431K
Opioid Cost
24.5%
Long-Acting Rate
This provider's opioid prescribing rate of 64.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 419 claims · $224K
Generic: 8,555 claims · $268K
Patient Profile
64
Avg Age
53%
Female
1.17
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