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
9,069
Total Claims
$537K
Drug Cost
1,235
Beneficiaries
$435
Cost/Patient
Risk Score Breakdown 29/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+322%
Opioid rate vs peers
85.2% vs 20.2% avg
-4%
Cost per patient vs peers
$435 vs $455 avg
+51%
Brand preference vs peers
4.7% vs 3.1% avg
🔎 Data Overview
Opioid rate is 322% 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
85.2%
Opioid Rate
7,731
Opioid Claims
$495K
Opioid Cost
17.6%
Long-Acting Rate
This provider's opioid prescribing rate of 85.2% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 429 claims · $273K
Generic: 8,640 claims · $265K
Patient Profile
67
Avg Age
65%
Female
1.80
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