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
6,157
Total Claims
$462K
Drug Cost
1,184
Beneficiaries
$390
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+269%
Opioid rate vs peers
74.6% vs 20.2% avg
-14%
Cost per patient vs peers
$390 vs $455 avg
+189%
Brand preference vs peers
9.1% vs 3.1% avg
🔎 Data Overview
Opioid rate is 269% 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
74.6%
Opioid Rate
4,594
Opioid Claims
$382K
Opioid Cost
21.7%
Long-Acting Rate
This provider's opioid prescribing rate of 74.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 558 claims · $299K
Generic: 5,578 claims · $161K
Patient Profile
68
Avg Age
64%
Female
2.05
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