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 →27
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
126
Total Claims
$1,939
Drug Cost
26
Beneficiaries
$75
Cost/Patient
Risk Score Breakdown 27/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+395%
Opioid rate vs peers
100.0% vs 20.2% avg
-84%
Cost per patient vs peers
$75 vs $455 avg
+658%
Brand preference vs peers
23.8% vs 3.1% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
🔎 Data Overview
Opioid rate is 395% 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
100.0%
Opioid Rate
126
Opioid Claims
$1,939
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 100.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 30 claims · $770
Generic: 96 claims · $1,169
Patient Profile
72
Avg Age
42%
Female
3.66
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