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
5,363
Total Claims
$296K
Drug Cost
648
Beneficiaries
$457
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+297%
Opioid rate vs peers
80.1% vs 20.2% avg
0%
Cost per patient vs peers
$457 vs $455 avg
-29%
Brand preference vs peers
2.2% vs 3.1% avg
🔎 Data Overview
Opioid rate is 297% 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
80.1%
Opioid Rate
4,297
Opioid Claims
$261K
Opioid Cost
11.7%
Long-Acting Rate
This provider's opioid prescribing rate of 80.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 119 claims · $90K
Generic: 5,244 claims · $206K
Patient Profile
70
Avg Age
64%
Female
1.88
Avg Risk Score
Explore More
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