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 →Jose MathewDO, MPH
Physical Medicine and Rehabilitation · Lawrenceville, GA 30046
NPI: 1861654659
23
🟡 Moderate
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
8,361
Total Claims
$1.1M
Drug Cost
1,195
Beneficiaries
$903
Cost/Patient
Risk Score Breakdown 23/100
Score components are additive. Read full methodology
Peer Comparison vs. 7,404 Physical Medicine and Rehabilitation providers
+226%
Opioid rate vs peers
65.8% vs 20.2% avg
+98%
Cost per patient vs peers
$903 vs $455 avg
+145%
Brand preference vs peers
7.7% vs 3.1% avg
🔎 Data Overview
Opioid rate is 226% 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
65.8%
Opioid Rate
5,503
Opioid Claims
$568K
Opioid Cost
16.1%
Long-Acting Rate
This provider's opioid prescribing rate of 65.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 643 claims · $629K
Generic: 7,718 claims · $450K
Patient Profile
66
Avg Age
72%
Female
2.07
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