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 →15
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
7,124
Total Claims
$570K
Drug Cost
325
Beneficiaries
$1,754
Cost/Patient
Risk Score Breakdown 15/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+207%
Opioid rate vs peers
62.0% vs 20.2% avg
+285%
Cost per patient vs peers
$1,754 vs $455 avg
+179%
Brand preference vs peers
8.8% vs 3.1% avg
🔎 Data Overview
Opioid rate is 207% 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
62.0%
Opioid Rate
4,419
Opioid Claims
$336K
Opioid Cost
19.3%
Long-Acting Rate
This provider's opioid prescribing rate of 62.0% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 624 claims · $329K
Generic: 6,500 claims · $241K
Patient Profile
63
Avg Age
58%
Female
1.29
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