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
175
Total Claims
$342K
Drug Cost
68
Beneficiaries
$5,035
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+292%
Cost per patient vs peers
$5,035 vs $1,283 avg
+79%
Brand preference vs peers
16.0% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
21.1%
Opioid Rate
37
Opioid Claims
$288
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 21.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 28 claims · $339K
Generic: 147 claims · $2,957
Patient Profile
65
Avg Age
52%
Female
3.55
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