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
270
Total Claims
$84K
Drug Cost
38
Beneficiaries
$2,211
Cost/Patient
Risk Score Breakdown 33/100
Score components are additive. Read full methodology
Peer Comparison vs. 8,961 Nephrology providers
+72%
Cost per patient vs peers
$2,211 vs $1,283 avg
+45%
Brand preference vs peers
13.0% vs 9.0% avg
⚠️ This provider has metrics more than 3 standard deviations above their specialty average in one or more categories.
Opioid Prescribing
20.0%
Opioid Rate
54
Opioid Claims
$30K
Opioid Cost
37.0%
Long-Acting Rate
Brand vs Generic
Brand: 35 claims · $65K
Generic: 235 claims · $19K
Patient Profile
60
Avg Age
45%
Female
5.53
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