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 →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
9,872
Total Claims
$6.1M
Drug Cost
616
Beneficiaries
$9,884
Cost/Patient
Risk Score Breakdown 26/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+670%
Cost per patient vs peers
$9,884 vs $1,283 avg
+246%
Brand preference vs peers
31.0% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 Data Overview
Cost per patient is 670% above the specialty average. Extreme cost outliers may indicate prescribing of unnecessarily expensive brand-name drugs or inappropriate drug utilization.
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
0.7%
Opioid Rate
72
Opioid Claims
$2,037
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 3,008 claims · $5.8M
Generic: 6,688 claims · $246K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Pegloticase | 64 | $3.6M |
| Ferric Citrate | 107 | $274K |
| Finerenone | 283 | $211K |
| Dapagliflozin Propanediol | 279 | $185K |
| Calcifediol | 133 | $170K |
| Dulaglutide | 116 | $141K |
| Sucroferric Oxyhydroxide | 32 | $107K |
| Semaglutide | 71 | $73K |
| Empagliflozin | 98 | $71K |
| Apixaban | 111 | $66K |
| Patiromer Calcium Sorbitex | 60 | $65K |
| Tirzepatide | 54 | $61K |
| Sitagliptin Phosphate | 71 | $49K |
| Sodium Zirconium Cyclosilicate | 64 | $45K |
| Alirocumab | 73 | $43K |
Prescribing Profile
Patient Profile
71
Avg Age
54%
Female
3.24
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.Methodology · About